US20120089419A1 - Hospital bed with graphical user interface having advanced functionality - Google Patents
Hospital bed with graphical user interface having advanced functionality Download PDFInfo
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- US20120089419A1 US20120089419A1 US13/249,336 US201113249336A US2012089419A1 US 20120089419 A1 US20120089419 A1 US 20120089419A1 US 201113249336 A US201113249336 A US 201113249336A US 2012089419 A1 US2012089419 A1 US 2012089419A1
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- patient
- bed
- user interface
- graphical user
- screen
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
- A61G7/018—Control or drive mechanisms
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- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1113—Local tracking of patients, e.g. in a hospital or private home
- A61B5/1115—Monitoring leaving of a patient support, e.g. a bed or a wheelchair
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- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
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- A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
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- A61G2205/00—General identification or selection means
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Definitions
- the present disclosure relates to patient support apparatuses such as hospital beds. More particularly, the present disclosure relates to patient support apparatuses having graphical user interfaces for viewing data and entering commands.
- Patient support apparatus having graphical user interfaces or display screens are known in the art.
- the graphical user interfaces of hospital beds oftentimes are touch screens that display icons which are used to control functions of the hospital bed or to display information of possible interest to caregivers concerning bed functions and features.
- See also U.S. Patent Application Publication No. 2008/0172789 A1 which is titled “Patient Support with Improved Control.”
- EMR electronic medical record
- a patient support apparatus such as a hospital bed, may be provided for use in a healthcare facility which may have an electronic medical record (EMR) system.
- the hospital bed may include a patient support structure to support a patient, a graphical user interface coupled to the patient support structure, and control circuitry coupled to the graphical user interface.
- the graphical user interface may display at least one input that may be used by a caregiver to chart data into an electronic medical record (EMR) of a patient supported by the patient support structure.
- EMR electronic medical record
- control circuitry may require verification of the caregiver's identity prior to sending data to the EMR system for charting in the patient's EMR.
- control circuitry may display a screen on the graphical display screen that may require the caregiver to enter a personal identification number (PIN) in response to the at least one input being used. Entry of the PIN by the caregiver may provide the verification required by the control circuitry prior to sending data to the EMR system.
- PIN personal identification number
- a card reader may be coupled to the control circuitry and the control circuitry may require the caregiver to engage the card reader with an identification (ID) card in response to the at least one input being used.
- ID an identification
- a caregiver may engage the card reader by inserting the ID card in a slot or swiping the ID card through a slot.
- engaging the card reader with the ID card by the caregiver may provide the verification required by the control circuitry prior to sending data to the EMR system.
- the ID card may be of the type having a magnetic strip and the card reader may be a magnetic card reader, for example.
- a wireless tag reader may be coupled to the control circuitry.
- the control circuitry may determine whether a wireless tag assigned to the caregiver is in communication with the wireless tag reader in response to the at least one input being used.
- communication between the wireless tag and the wireless tag reader may provide the verification required by the control circuitry prior to sending data to the EMR system.
- a biometric sensor that is coupled to the control circuitry and that receives an input that provides the verification required by the control circuitry prior to sending data to the EMR system.
- the biometric sensor may comprise one or more fingerprint readers or retinal scanners that are used to identify the caregiver by reading a caregiver's fingerprint (e.g., a thumb print) or by scanning a caregiver's retina.
- the graphical user interface may display a bed status charting icon that may be selectable to display current bed status data that the caregiver may have the option of charting to the patient's EMR. Selection of the bed status charting icon may result in at least one of the following bed status data being displayed on the graphical user interface: an angle of a head section of the patient support structure, whether or not caster brakes of the patient support structure are set, whether or not an upper frame of the patient support structure is in a low position relative to a base of the patient support structure, whether a patient position monitoring system of the hospital bed is armed, and whether a head of bed monitoring system of the hospital bed is armed.
- the graphical user interface may display a chart button that may be touched to send the current bed status data to the patient's EMR.
- the graphical user interface may display a chart button that, when touched, may result in the graphical user interface displaying a confirmation screen which the caregiver may use to confirm that the current bed status data is to be charted to the patient's EMR.
- the graphical user interface may display a history button that may be touched to access a history of bed status data that has been charted to the patient's EMR previously.
- the graphical user interface may display a vital signs charting icon that may be selectable to display a patient information screen that the caregiver may use to enter the patient's vital signs data for subsequent charting to the patient's EMR.
- the patient information screen may include fields for entering at least one of the following patient's vital signs data: heart rate, respiration rate, blood pressure, pulse oximetry, and temperature.
- the graphical user interface may display a chart button that may be touched to send the patient's vital signs data to the patient's EMR.
- the graphical user interface may display a chart button that, when touched, may result in the graphical user interface displaying a confirmation screen which the caregiver may use to confirm that the patient's vital signs data is to be charted to the patient's EMR.
- the graphical user interface may display a history button that is touched to access a history of the patient's vital signs data that has been charted to the patient's EMR previously.
- the graphical user interface may display a weigh patient button that may be touched to command the control circuitry to weigh the patient supported on the patient support structure and to display a charting icon that the caregiver has the option of touching to initiate the charting of the patient's weight to the patient's EMR.
- a history button may be provided on the graphical display screen that may be selected to access a history of the patient's weight that has been charted to the patient's EMR previously.
- the graphical user interface may display a patient activity icon that may be selectable to display an activity screen that may have a menu of patient activities that the caregiver has the option of selecting for charting to the patient's EMR.
- the menu of patient activities may include, for example, at least one of the following activities: whether the patient is lying on their back, whether the patient is light on their right side, whether the patient is lying on their left side, whether the patient has moved out of the hospital bed and is sitting on a chair, and whether the patient support structure has been moved to a chair position to support the patient in a sitting position.
- the graphical user interface may display a chart button that may be touched to send patient activities data to the patient's EMR.
- the graphical user interface may display a chart button that, when touched, may result in the graphical user interface displaying a confirmation screen which the caregiver may use to confirm that patient activities data is to be charted to the patient's EMR.
- the graphical user interface may display a history button that may be touched to access a history of the patient activities data that has been charted to the patient's EMR previously.
- the graphical user interface may be used to display contraindications for a patient.
- the graphical user interface may display at least one of the following: a list of a patient's drug allergies, a list of a patient's food allergies, a contraindication relating to a needle stick, and a contraindication relating to patient egress.
- the graphical user interface may be used to display information regarding a patient's intakes and outputs.
- the information regarding a patient's intakes may include, for example, at least one of the following: a percent of the amount of food eaten by a patient during a meal or snack, a volume of liquid consumed by a patient, an amount of eating or drinking assistance provided by a caregiver to a patient, and a time at which a patient ate or drank.
- the information regarding a patient's outputs may include at least one of the following: an amount of urine output by a patient, an amount of stool output by a patient, an amount of emesis output by a patient, and a time at which a patient output occurred.
- the graphical user interface is used to display a rounding checklist which may have, for example, a list of tasks or functions to be performed by a caregiver.
- the list of tasks or functions may include one or more of the following: putting siderails up, setting brakes, putting an upper frame of the hospital bed in its lowest position, raising a head section of the hospital bed to a position above 30° of elevation, making sure a pathway to a bathroom is clear, making sure a night light is on, arming a bed exit system, assessing a pain level of a patient, making sure entertainment or nurse call controls are with reach of a patient, checking a patient's vital signs, checking whether IV pump bag or drainage receptacle needs to be replaced or emptied, turning a patient, making sure no trip hazards are present in a room, checking or changing bandages, checking to see if a patient needs drinking water, and checking to see if a patient needs to go to a bathroom.
- the graphical user interface is used to display a list of procedures which, in turn, each may include a list of steps of the associated procedure.
- the graphical user interface is used to link to video clips which demonstrate on the graphical user interface at least a portion of a procedure. For example, a video clip of each step of a procedure may be shown on the graphical user interface.
- the graphical user interface may be used to show information about network connectivity and/or information about a patient that is likely to be associated with the hospital bed.
- a button or icon may be provided on the graphical user interface for selection by a caregiver to accept association of the patient with the hospital bed.
- FIG. 1 is a perspective view of a hospital bed having a graphical user interface or display screen coupled to a siderail of the hospital bed;
- FIG. 2 is a block diagram showing electrical circuitry of the hospital bed in communication with a remote computer of an EMR system;
- FIG. 3 is an example of a Main Menu screen that appears on the graphical user interface as a default screen
- FIG. 4 is a screen shot of a Log In screen that appears on the graphical user interface in response to a user touching a Charting tab so that the user can verify their identity as being a person authorized to chart data to the EMR system;
- FIG. 5 is an example of a Charting Home screen that appears on the graphical user interface after the user has successfully verified their identity using the Log In screen, the Log In screen having information regarding the patient, the doctor and nurse assigned to the patient, the bed serial number of the patient's bed, and the patient's room assignment, and the Log In screen having Bed Status, Patient Info, and Activity icons on the right hand side of the screen shot;
- FIG. 6 is a first example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched on the Charting Home screen and, in the first example, an angle of a head section of the patient's bed is above a threshold angle and an upper frame of the bed is in a low position relative to a base of the bed;
- FIG. 7 is a second example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the second example, the angle of the head section of the patient's bed is below the threshold angle such that an angle alert icon is color coded yellow to indicate the alert condition and the upper frame of the bed is not in the low position relative to a base of the bed such that a low icon is color coded yellow to indicate the alert condition;
- FIG. 8 is a third example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the third example, a patient position monitoring (PPM) system of the bed is armed in an Exiting mode as indicated by an Exiting mode icon appearing on the left side of the screen;
- PPM patient position monitoring
- FIG. 9 is a fourth example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the fourth example, the PPM system of the bed is armed in an Out-of-Bed mode as indicated by an Out-of-Bed mode icon appearing on the left side of the screen;
- FIG. 10 is a fifth example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the fifth example, the PPM system of the bed is armed in a Patient Position mode as indicated by a Patient Position mode icon appearing on the left side of the screen;
- FIG. 11 is a Charting Confirmation pop up window that appears on the graphical user interface in response to a Chart button or field being touched on the Bed Status screen;
- FIG. 12 is an example of a Bed Status History screen that appears on the graphical user interface in response to a Yes button or field being selected on the Charting Confirmation pop up window and the Bed Status History screen having left and right scroll arrows that are selected to scroll through Bed Status data that has been charted to the EMR system for the particular patient;
- FIG. 13 is a Patient Info screen that appears on the graphical user interface in response to the Patient Info icon being touched on the Charting Home screen, the Patient Info screen having a number of question marks that are selectable for subsequent manual entry of patient information regarding heart rate, blood pressure, temperature, pulse oximitry and respiration rate;
- FIG. 14 is an example of the Patient Info screen after the heart rate question mark has been touched, the question mark being replaced with either a default heart rate or the last heart rate stored in the EMR system or in circuitry of the hospital bed and OK, plus and minus buttons or fields being displayed for manually changing the heart rate information;
- FIG. 15 is an example of the Patient Info screen in which the OK button is touched or pressed
- FIG. 16 is an example of the Patient Info screen after the OK button is released, a date stamp and time stamp being shown on the Patient Info screen adjacent the heart rate information in response to the OK field being pressed and released;
- FIG. 17 is an example of the Patient Info screen in which the plus button is touched or pressed
- FIG. 18 is an example of the Patient Info screen after the plus button is released, the heart rate information being increased by one beat per minute in response to the plus field being pressed and released;
- FIG. 19 is an example of the Patient Info screen after patient information has been manually entered into all of the available fields once occupied by the question marks of FIG. 13 ;
- FIG. 20 is an example of a Patient Info History screen that appears on the graphical user interface after a Chart button, shown in FIG. 19 , has been pressed and after pressing the yes button of a Charting Confirmation pop up window that is identical to the one shown in FIG. 11 , the Patient Info History screen having left and right scroll arrows that are selected to scroll through patient data that has been charted to the EMR system for the particular patient;
- FIG. 21 is an example of a Patient Info History Graph screen that appears on the graphical user interface after a Graph button is touched on the Patient Info History screen, the Patient Info History Graph screen graphically representing the patient data stored in the EMR system at different times;
- FIG. 22 is an example of an Activity screen that appears on the graphical user interface in response to the Activity icon being touched on the Charting Home screen and the Activity screen having an Add Entry button;
- FIG. 23 is an example of an Activity Add Entry screen that appears on the graphical user interface in response to the Add Entry button being touched, the Activity Add Entry screen having a menu of activities including On Back, Right Side, Left Side, Chair in Room, and Chair Mode Bed fields or buttons;
- FIG. 24 is an example of an Activity On Back screen that appears on the graphical user interface in response to the On Back field of the Activity Add Entry screen being touched, the Activity On Back screen having a field containing the text “Patient turned on back” and an “x” icon;
- FIG. 25 is an example of an Activity Remove Entry screen that appears on the graphical user interface in response to the “x” icon being touched on the Activity On Back screen, the Activity Remove Entry screen having Yes and No fields or buttons that are selected depending upon whether or not the activity is to be removed;
- FIG. 26 is an example of an Activity View History screen that appears on the graphical user interface after a Chart button has been touched on the Activity On Back screen of FIG. 24 , after the Yes button has been touched on the resulting Charting Confirmation pop up window, and after a View History button or field has been touched on the Activity screen of FIG. 22 ;
- FIG. 27 is an example of a Scale screen that appears on the graphical user interface in response to the user touching a Scale tab;
- FIG. 28 is a Scale Let Go screen that appears on the graphical user interface for a threshold amount of time after the user touches a Weigh Patient button or field on the Scale screen of FIG. 27 ;
- FIG. 29 is an example of a Scale Weighing screen that appears on the graphical user interface while a scale system of the hospital bed weighs the patient;
- FIG. 30 is an example of a Scale Accept screen that appears on the graphical user interface after the patient has been weighed, the patient's weight being displayed on the Scale Accept screen;
- FIG. 31 is an example of a Scale Yellow screen that appears on the graphical user interface after an Accept button of the Scale Accept screen of FIG. 30 is touched if an EMR Autosend feature of the hospital bed is enabled and that appears on the graphical user interface after the Accept button is pressed and after the Yes button has been touched on the resulting Charting Confirmation pop up window which appears if the EMR Autosend feature is disabled, the Scale Yellow screen having a number of fields highlighted yellow to indicate the information that has been charted to the patient's EMR;
- FIG. 32 is an example of a Scale Final screen that appears on the graphical user interface after a threshold amount of time during which the yellow highlighting of the Scale Yellow screen fades;
- FIG. 33 is a Tools Autosend Disabled screen that appears on the graphical user interface in response to a Tools tab being touched if the Autosend feature of the hospital bed is disabled;
- FIG. 34 is a Tools Autosend Switch to Enabled screen that appears on the graphical user interface in response to a Change button or field associated with the Autosend feature being touched on the Tools Autosend Disabled screen of FIG. 33 , a Disabled field changing to an Enabled field and being highlighted yellow after the Change button of the Tools Autosend Disabled screen of FIG. 33 is touched;
- FIG. 35 is a Tools Autosend Enabled screen that appears on the graphical user interface after a threshold amount of time during which the yellow highlighting of the Enabled field fades;
- FIG. 36 is a Tools Autosend Switch to Disabled screen that appears on the graphical user interface in response to the Change button or field associated with the Autosend feature being touched on the Tools Autosend Enabled screen of FIG. 35 , the Enabled field changing back to the Disabled field and being highlighted yellow after the Change button of the Tools Autosend Enabled screen of FIG. 35 is touched;
- FIG. 37 is a Surface screen that appears on the graphical user interface in response to a Surface tab being selected, the Surface screen having user inputs that are touched to control various functions of a mattress of the hospital bed;
- FIG. 38 is a Chart Data to EMR screen that appears on the graphical user interface in response to any of the user inputs of the Surface screen being touched;
- FIG. 39 is a first Turn Patient Right screen that appears on the graphical user interface in response to a PIN being entered and the OK button being touched on the Chart Data to EMR screen after a Turn Right button has been touched on the Surface screen, the first Turn Patient Right screen having a line of text confirming that turn data has been sent to the EMR for charting;
- FIG. 40 is a second Turn Patient Right screen that appears on the graphical user interface in response to a Cancel button being touched on the Chart Data to EMR screen after the Turn Right button has been touched on the Surface screen;
- FIG. 41 is a Patient Contraindications screen that appears on the graphical user interface to show a list of a patient's drug and food allergies, to show that the patient is contraindicated for needle sticks in the left arm, and to show other contraindications for the patient;
- FIG. 42 is a Charting Intake/Output screen showing an Intakes table that appears on the graphical user interface to show information about the food and beverages the patient has consumed at various times and to show an Outputs table having information about the patient's excretions;
- FIG. 43 is a Miscellaneous Functions screen showing icons or buttons that are selected to navigate to the screens of FIGS. 44-48 ;
- FIG. 44 is a Rounding Checklist screen that appears on the graphical user interface in response to selection of a Rounding Checklist icon of the Miscellaneous Functions screen, the Rounding Checklist screen having a list of tasks or functions that a caregiver should perform in connection with an associated patient;
- FIG. 45 is a Procedures screen that appears on the graphical user interface in response to selection of a Procedures icon on the Miscellaneous Functions screen, the Procedures screen having a number of Procedures tabs that are selectable to view a list of steps of a procedure and a set of Video Links buttons or icons that are selectable to view a video of an associated step of a procedure;
- FIG. 46 is a Services screen that appears on the graphical user interface in response to selection of a Services icon on the Miscellaneous Functions screen, the Services screen having a set of Service buttons or icons associated with other services available in the healthcare setting;
- FIG. 47 is a Chart screen that appears on the graphical user interface in response to selection of an EMR Dashboard icon on the Miscellaneous Functions screen, the Chart screen having a set of Chart buttons or icons associated that are selectable to view various data sets available in a patient's electronic medical record; and
- FIG. 48 is a Network/Patient Association screen that appears on the graphical user interface in response to selection of a Network/Patient Association icon on the Miscellaneous function screen, the Network/Patient Association screen having a first block of text providing information about network connectivity and a second block of text providing information about a patient to be associated with the corresponding bed.
- a patient support apparatus such as illustrative hospital bed 10
- bed 10 includes a patient support structure such as a frame 20 that supports a surface or mattress 22 as shown in FIG. 1 .
- bed 10 includes electronic medical record (EMR) charting capability that permits information or data to be charted into a patient's EMR via commands entered on bed 10 without the need for subsequent confirmatory actions by personnel at separate or remote computers.
- EMR electronic medical record
- the screens shown in FIGS. 3-40 relate to the entry of data from bed 10 into a patient's EMR.
- FIGS. 1 and 2 show some details of one possible bed 10 having EMR charting capability.
- this disclosure is applicable to other types of patient support apparatuses, including other types of beds, surgical tables, examination tables, stretchers, and the like.
- bed 10 has a frame 20 which includes a base 28 , an upper frame assembly 30 and a lift system 32 coupling upper frame assembly 30 to base 28 .
- Lift system 32 is operable to raise, lower, and tilt upper frame assembly 30 relative to base 28 .
- Bed 10 has a head end 24 and a foot end 26 .
- Hospital bed 10 further includes a footboard 45 at the foot end 26 and a headboard 46 at the head end 24 .
- Illustrative bed 10 includes a pair of push handles 47 coupled to an upstanding portion 27 of base 28 at the head end 24 of bed 10 .
- Headboard 46 is coupled to upstanding portion 27 of base as well.
- Foot board 45 is coupled to upper frame assembly 30 .
- Base 28 includes wheels or casters 29 that roll along floor (not shown) as bed 10 is moved from one location to another.
- a set of foot pedals 31 are coupled to base 31 and are used to brake and release casters 29 .
- Illustrative hospital bed 10 has four siderail assemblies coupled to upper frame assembly 30 as shown in FIG. 1 .
- the four siderail assemblies include a pair of head siderail assemblies 48 (sometimes referred to as head rails) and a pair of foot siderail assembies 50 (sometimes referred to as foot rails).
- Each of the siderail assemblies 48 and 50 is movable between a raised position, as shown in FIG. 1 , and a lowered position (not shown).
- Siderail assemblies 48 , 50 are sometimes referred to herein as siderails 48 , 50 .
- Each siderail 48 , 50 includes a barrier panel 54 and a linkage 56 .
- Each linkage 56 is coupled to the upper frame assembly 30 and is configured to guide the barrier panel 54 during movement of siderails 48 , 50 between the respective raised and lowered positions. Barrier panel 54 is maintained by the linkage 56 in a substantially vertical orientation during movement of siderails 48 , 50 between the respective raised and lowered positions.
- Upper frame assembly 30 includes a lift frame 34 , a weigh frame 36 supported with respect to lift frame 34 , and a patient support deck 38 .
- Patient support deck 38 is carried by weigh frame 36 and engages a bottom surface of mattress 22 .
- Patient support deck 38 includes a head section 40 , a seat section 42 , a thigh section 43 and a foot section 44 in the illustrative example as shown in FIG. 1 and as shown diagrammatically in FIG. 2 .
- Sections 40 , 43 , 44 are each movable relative to weigh frame 36 .
- head section 40 pivotably raises and lowers relative to seat section 42 whereas foot section 44 pivotably raises and lowers relative to thigh section 43 .
- thigh section 43 articulates relative to seat section 42 .
- foot section 44 is extendable and retractable to change the overall length of foot section 44 and therefore, to change the overall length of deck 38 .
- foot section 44 includes a main portion 45 and an extension 47 in some embodiments as shown diagrammatically in FIG. 2 .
- seat section 42 is fixed in position with respect to weigh frame 36 as patient support deck 38 moves between its various patient supporting positions including a horizontal position, shown in FIG. 1 , to support the patient in a supine position, for example, and a chair position (not shown) to support the patient in a sitting up position.
- seat section 42 also moves relative to weigh frame 36 , such as by pivoting and/or translating.
- the thigh and foot sections 43 , 44 also translate along with seat section 42 .
- foot section 44 lowers relative to thigh section 43 and shortens in length due to retraction of the extension 47 relative to main portion 45 .
- foot section 44 raises relative to thigh section 43 and increases in length due to extension of the extension relative to main portion 45 .
- head section 40 extends upwardly from weigh frame 36 and foot section extends downwardly from thigh section 43 .
- bed 10 includes a head motor or actuator 90 coupled to head section 40 , a knee motor or actuator 92 coupled to thigh section 43 , a foot motor or actuator 94 coupled to foot section 44 , and a foot extension motor or actuator 96 coupled to foot extension 47 .
- Motors 90 , 92 , 94 , 96 may include, for example, an electric motor of a linear actuator.
- a seat motor or actuator (not shown) is also provided.
- Head motor 90 is operable to raise and lower head section 40
- knee motor 92 is operable to articulate thigh section 43 relative to seat section 42
- foot motor 94 is operable to raise and lower foot section 44 relative to thigh section 43
- foot extension motor 96 is operable to extend and retract extension 47 of foot section 44 relative to main portion 44 of foot section 44 .
- bed 10 includes a pneumatic system 72 that controls inflation and deflation of various air bladders or cells (some of which are shown diagrammatically as icons in FIGS. 37 , 39 and 40 ) of mattress 22 .
- the pneumatic system 72 is represented in FIG. 2 as a single block but that block 72 is intended to represent one or more air sources (e.g., a fan, a blower, a compressor) and associated valves, manifolds, air passages, air lines or tubes, pressure sensors, and the like, as well as the associated electric circuitry, that are typically included in a pneumatic system for inflating and deflating air bladders of mattresses.
- air sources e.g., a fan, a blower, a compressor
- associated valves manifolds, air passages, air lines or tubes, pressure sensors, and the like
- the associated electric circuitry that are typically included in a pneumatic system for inflating and deflating air bladders of mattresses.
- lift system 32 of bed 10 includes one or more elevation system motors or actuators 70 , which in some embodiments, comprise linear actuators with electric motors.
- actuators 70 are sometimes referred to herein as motors 70 .
- Alternative actuators or motors contemplated by this disclosure include hydraulic cylinders and pneumatic cylinders, for example.
- the motors 70 of lift system 32 are operable to raise, lower, and tilt upper frame assembly 30 relative to base 28 .
- one of motors 70 is coupled to, and acts upon, a set of head end lift arms 78 and another of motors 70 is coupled to, and acts upon, a set of foot end lift arms 80 to accomplish the raising, lowering and tilting functions of upper frame 30 relative to base 28 .
- Guide links 81 are coupled to base 28 and to lift arms 80 in the illustrative example as shown in FIG. 1 .
- Lift system of bed 10 is substantially similar to the lift system of the VERSACARE® bed available from Hill-Rom Company, Inc. Other aspects of bed 10 are also substantially similar to the VERSACARE® bed and are described in more detail in U.S. Pat. Nos. 6,658,680; 6,611,979; 6,691,346; 6,957,461; and 7,296,312, each of which is hereby expressly incorporated by reference herein.
- bed 10 has four foot pedals 84 a, 84 b, 84 c, 84 d coupled to base 28 as shown in FIG. 1 .
- Foot pedal 84 a is used to raise upper frame assembly 30 relative to base 28
- foot pedal 84 b is used to lower frame assembly 30 relative to base 28
- foot pedal 84 c is used to raise head section 40 relative to frame 36
- foot pedal 84 d is used to lower head section 40 relative to frame 36 .
- foot pedals 84 a - d are omitted.
- Each of siderails 48 includes a first user control panel 66 coupled to the outward side of the associated barrier panel 54 and each of siderails 50 include a second user control panel 67 coupled to the outward side of the associated barrier panel 54 .
- Controls panels 66 , 67 include various buttons that are used by a caregiver (not shown) to control associated functions of bed 10 .
- control panel 66 includes buttons that are used to operate head motor 90 to raise and lower the head section 40 , buttons that are used to operate knee motor to raise and lower the thigh section, and buttons that are used to operate motors 70 to raise, lower, and tilt upper frame assembly 30 relative to base 28 .
- control panel 67 includes buttons that are used to operate motor 94 to raise and lower foot section 44 and buttons that are used to operate motor 96 to extend and retract foot extension 47 relative to main portion 45 .
- the buttons of control panels 66 , 67 comprise membrane switches.
- bed 10 includes control circuitry 98 that is electrically coupled to motors 90 , 92 , 94 , 96 and to motors 70 of lift system 32 .
- Control circuitry 98 is represented diagrammatically as a single block 98 in FIG. 6 , but control circuitry 98 in some embodiments comprises various circuit boards, electronics modules, and the like that are electrically and communicatively interconnected.
- Control circuitry 98 includes one or more microprocessors 172 or microcontrollers that execute software to perform the various control functions and algorithms described herein.
- circuitry 98 also includes memory 174 for storing software, variables, calculated values, and the like as is well known in the art.
- a user inputs block represents the various user inputs such as buttons of control panels 66 , 67 and pedals 84 a - d, for example, that are used by the caregiver or patient to communicate input signals to control circuitry 98 of bed 10 to command the operation of the various motors 70 , 90 , 92 , 94 , 96 of bed 10 , as well as commanding the operation of other functions of bed 10 .
- Bed 10 includes at least one graphical user input or display screen 142 coupled to a respective siderail 48 as shown in FIG. 1 .
- Display screen 142 is coupled to control circuitry 142 as shown diagrammatically in FIG. 2 .
- two graphical user interfaces 142 are provided and are coupled to respective siderails 48 .
- one or more graphical user interfaces are coupled to siderails 50 and/or to one or both of the headboard 46 and footboard 45 .
- Control circuitry 98 receives user input commands from graphical display screen 142 as will be described in further detail below with regard to FIGS. 3-40 .
- control circuitry 98 of bed 10 communicates with a remote computer device 176 via communication infrastructure 178 such as an Ethernet of a healthcare facility in which bed 10 is located and via communications links 177 , 179 as shown diagrammatically in FIG. 2 .
- Computer device 176 is sometimes simply referred to as a “computer” herein.
- Remote computer 176 is part of an electronic medical records (EMR) system according to this disclosure.
- EMR electronic medical records
- circuitry 98 of bed 10 to communicate with other computers such as those included as part of a nurse call system, a physician ordering system, an admission/discharge/transfer (ADT) system, or some other system used in a healthcare facility in other embodiments.
- Ethernet 178 in FIG. 2 is illustrated diagrammatically and is intended to represent all of the hardware and software that comprises a network of a healthcare facility.
- bed 10 has a communication interface or port 180 which provides bidirectional communication via link 179 with infrastructure 178 which, in turn, communicates bidirectionally with computer 176 via link 177 .
- Link 179 is a wired communication link in some embodiments and is a wireless communications link in other embodiments.
- communications link 179 in some embodiments, comprises a cable that connects bed 10 to a wall mounted jack that is included as part of a bed interface unit (BIU) or a network interface unit (NIU) of the type shown and described in U.S. Pat. Nos. 7,538,659 and 7,319,386 and in U.S. Patent Application Publication Nos.
- communications link 179 comprises wireless signals sent between bed 10 and a wireless interface unit of the type shown and described in U.S. Patent Application Publication No. 2007/0210917 A1 which is hereby expressly incorporated by reference herein.
- Communications link 177 comprises one or more wired links and/or wireless links as well according to this disclosure.
- bed 10 includes EMR charting capability so that information can be charted into a patient's EMR via commands entered on bed 10 without the need for subsequent confirmatory actions by personnel at remote computers.
- subsequent confirmatory actions may be required at EMR system computer 176 prior to entry of data into a patient's EMR.
- systems in which information is charted or stored in a patient's EMR via caregiver actions at bed 10 without the need for subsequent actions at remote computer 176 by the same or a different caregiver is seen as being more efficient.
- screens that appear on graphical user interface 142 are discussed.
- the images and functions associated with each of these screens are controlled by the software that is stored in memory, such as memory 174 shown diagrammatically in FIG. 2 , and executed by a microprocessor or microcontroller, such as microprocessor 172 shown diagrammatically in FIG. 2 .
- a microprocessor or microcontroller such as microprocessor 172 shown diagrammatically in FIG. 2 .
- multiple microprocessors or microcontrollers and multiple memory devices are used in connection with displaying the various screens on graphical user interface 142 and carrying out the various functions associated with those screens.
- graphical user interface 142 includes its own display driver circuitry that includes its own microprocessor or microcontroller and its own memory.
- software is stored in multiple memory locations in some embodiments and is executed by associated microprocessors or microcontrollers to perform the overall functionality discussed below.
- Screen 200 includes a Main Menu tab 202 which is associated with screen 200 .
- Screen 200 also has a Scale tab 204 , an Alarms tab 206 , a Surface tab 208 , a Charting tab 210 , a Tools tab 212 , and a Help tab 214 .
- Tabs 202 , 204 , 206 , 208 , 210 , 212 , 214 are selected or touched to call up an associated screen or set of screens.
- Main menu screen 200 includes an Active Alarms field 216 in which any alarms associated with bed 10 are listed. In the illustrative example, there are no alarm conditions occurring with respect to bed 10 and so field 216 is empty.
- a Bed Info field 218 appears on screen 200 beneath field 216 and displays information such as the head angle of bed 10 (i.e., the angle at which head section 40 is raised with respect to frame 36 or with respect to horizontal depending upon the type of angle sensor used).
- Bed 10 includes an angle sensor 220 which is coupled to head section 40 and to control circuitry 98 as shown diagrammatically in FIG. 2 . Examples of suitable angle sensors include, for example, potentiometers, inclinometers, ball switches, and accelerometers, just to name a few. In the illustrative example of FIG. 3 , the head angle is 0°.
- Bed Info field 218 of screen 200 there is also a line of text that indicates that nurse call alerting is turned off. That is, for the particular bed 10 , no bed conditions are being monitored by a remote nurse call system for alerting caregivers of any alarm conditions.
- the line of text states “NaviCare OFF.”
- the term NaviCare in field 218 refers to the NAVICARE® Nurse Call (NNC) system available from Hill-Rom Company, Inc.
- the ability of bed 10 to chart information to the EMR system 176 is independent of whether bed 10 is connected to a nurse call system and is independent of whether, if connected, the alerting functions of bed 10 to the nurse call system are turned on or off.
- bed 10 may communicate with the EMR system 176 via a nurse call system, ADT system, or other system and therefore, connectivity to the intermediate system or systems is required in those particular embodiments.
- Screen 200 also has a Surface Status field 222 that conveys information about the status of mattress 22 .
- field 222 indicates that a rotation therapy feature of mattress 22 is off and that a percussion and vibration (P&V) feature of mattress 22 is off.
- Screen further has a Surface mode field 224 that conveys information about the mode in which mattress 22 is operating. In the illustrative example, the surface 22 is operating in the normal mode. Other modes include, for example, a pressure redistribution mode, a max-inflate mode, a right turn mode, a left turn mode, and a seat deflate mode.
- Screen 200 has a bed icon 225 that visually conveys further information about bed 10 in some embodiments. For example, there are four siderails of icon 225 are color coded red to indicate that the respective siderail has been lowered and indicia appears on a mattress portion of icon 225 to indicate different types of surface therapy or mode information.
- a Log In screen or pop-up window 226 appears on the graphical user interface 142 .
- Screen 226 has user inputs and fields that are used by the caregiver to verify their identity as being a person authorized to chart data to the EMR system 176 .
- screen 226 includes a field 228 with the text “Please enter PIN” to prompt the caregiver to use a numeric keyboard 232 having buttons corresponding to integers 0-9 to type a personal identification number (PIN).
- PIN personal identification number
- the caregiver touches or selects an OK button or icon 234 and a Charting Home screen 240 , an example of which is shown in FIG. 5 , appears on graphical user interface 142 . If a user selects a Cancel button 236 on screen 226 , then Main Menu screen 200 is displayed on graphical user interface 142 .
- Keyboard 232 includes a C button 238 that is pressed to clear the PIN being entered into field 230 . Thus, button 238 is used if the caregiver makes an inadvertent error while typing his or her PIN into field 230 .
- bed 10 includes a token reader that reads a token in some embodiments.
- token is a card with a magnetic strip and one type of token reader is a magnetic card reader which is engaged by the card, such as by swiping the card through a slot or by inserting the card into a slot or opening.
- RFID radio frequency identification
- another type of token reader is an RFID tag reader.
- the RFID tag and associated RFID tag reader include transmitters, receivers, and/or transceivers that are appropriately arranged for communicating with each other.
- bed 10 has an RFID transceiver that sends out a wireless signal that, if received by an RFID tag in proximity to the transceiver, responds with a wireless message including a unique code associated with the RFID tag.
- the unique code of the RFID tag is associated with an assigned caregiver and is used to verify the identity of the caregiver in proximity to the bed 10 .
- a biometric sensor that is coupled to the control circuitry 98 and that receives an input that provides the verification required by the control circuitry 98 prior to sending data to the EMR system 176 .
- the biometric sensor may comprise one or more fingerprint readers or retinal scanners that are used to identify the caregiver by reading a caregiver's fingerprint (e.g., a thumb print) or by scanning a caregiver's retina.
- the biometric sensor is mounted on one or both siderails 48 adjacent the associated display screen 142 in some embodiments, but the biometric sensor may just as well be mounted on some other portion of bed 10 such as the head board 46 , foot board 45 , one or both of siderails 50 , or on an arm, pole, or pod that extends upwardly from upper frame 38 , for example.
- Charting Home screen 240 which appears on graphical user interface 142 after the user has successfully verified their identity using the Log In screen 226 as discussed above, has a dynamic field 242 conveying information regarding the patient, the doctor and nurse assigned to the patient, the bed serial number of the patient's bed, and the patient's room assignment.
- the patient is Jane Wilmington
- the patient's doctor is Dr. August
- the primary caregiver currently assigned to the patient is Rob Butler, RN
- the bed serial number is 100012034
- the patient's room assignment is room 101A.
- the information concerning the patient's name, the room location, the patient's doctor and assigned caregiver are retrieved from remote computer devices, such as those of the EMR system 176 or another system, such as a nurse call system, an ADT system, or the like.
- screens are presented on graphical user interface 142 to enable a caregiver to verify the information in field 242 , particularly, to verify the identity of the patient.
- the patient's name is displayed in a coded format, such as a HIPAA compliant format, in some embodiments.
- Charting Home screen 240 has a Bed Status icon 244 , a Patient Info icon 246 , and an Activity icon 248 .
- a Bed Status screen is displayed on graphical user interface 142 .
- the Bed Status screen will convey different types of information.
- five examples of a Bed Status screen 250 a, 250 b, 250 c, 250 d, 250 e are provided in FIGS. 6-10 , respectively.
- Each Bed Status screen 250 a, 250 b, 250 c, 250 d, 250 e has a partial bed indicia 252 located beneath a line of text 254 indicating “Current Bed Status” and indicating the room number, “101A” in the illustrative example.
- Partial bed indicia 252 includes a head angle alarm status bubble 256 , a current head angle read out field 257 , a caster brake status bubble 258 , an elevation system status bubble 260 , and a patient position monitoring (PPM) system status bubble 262 .
- head angle alarm status bubble 256 indicates that a head angle alarm feature of bed 10 is armed and current head angle read out field 257 indicates that the head section 40 of bed 10 is at 33° which is not below the 30° threshold of the head angle alarm system in the illustrative example.
- head section 40 of bed 10 is raised sufficiently that a head of bed angle alarm condition does not exist in connection with the screen 250 a example.
- caster brake status bubble 258 indicates that the caster brakes are set
- elevation system status bubble 260 indicates that upper frame assembly 30 is in its lowest position relative to base 28
- PPM system status bubble 262 indicates that the PPM system is turned off.
- head angle alarm status bubble 256 indicates that the head angle alarm feature of bed 10 is armed and current head angle read out field 257 indicates that the head section 40 of bed 10 is at 27° which is below the 30° threshold of the head angle alarm system in the illustrative example.
- head section 40 of bed 10 is not raised sufficiently which means that a bed angle alarm condition exists in connection with the screen 250 b example.
- bubble 256 is color coded (indicated by cross hatching in FIG. 7 ), such as being colored yellow or red, for example, to visually indicate the alarm condition.
- caster brake status bubble 258 indicates that the caster brakes are set
- elevation system status bubble 260 indicates that upper frame assembly 30 is not in its lowest position relative to base 28 and so is color coded to indicate the alarm condition
- PPM system status bubble 262 indicates that the PPM system is turned off.
- the third, fourth and fifth examples of a Bed Status screen 250 c, 250 d, 250 e are each the same as the first example of Bed Status screen 250 a except that PPM system status bubble 262 has a different icon in each of screens 250 c , 250 d, 250 e than in screen 250 a to indicate a respective mode in which the PPM system of bed 10 is armed.
- the PPM system of bed 10 is armed in an Exiting mode in connection with screen 250 c as indicated by an Exiting mode icon 264 appearing in bubble 262 in FIG.
- the PPM system of bed 10 is armed in an Out-of-Bed mode in connection with screen 250 d as indicated by an Out-of-Bed mode icon 266 appearing in bubble 262 in FIG. 9 , and the PPM system of bed 10 is armed in an Patient Portion mode in connection with screen 250 e as indicated by a Patient Position mode icon 268 appearing in bubble 262 in FIG. 10 .
- Bed 10 includes a scale system 270 as shown diagrammatically in FIG. 2 .
- Scale system 270 includes one or more weight sensors that are indicative of the weight of the patient on bed 10 .
- the scale system includes four load cells (e.g., load beams with strain gages) that interconnect lift frame 34 with weigh frame 36 adjacent the four corners of frame 34 .
- the data from the sensors of scale system 270 is also used by control circuitry 98 to determine the patient's position relative to mattress 22 and/or upper frame assembly 22 .
- data from the sensors of weigh scale system 270 is compared to thresholds associated with the Exiting, Out-of-Bed, and Patient Position modes of the PPM system to determine if an alarm condition exists.
- Examples of scale systems used on hospital beds are shown and described in U.S. Pat. Nos. 7,610,637; 7,253,366; 7,176,391; 6,924,441; 6,680,443; and 5,859,390, each of which is hereby incorporated by reference herein. See particularly U.S. Pat. No. 7,253,366 for a discussion of a load cell based PPM system having Exiting, Out-of-Bed, and Patient Position modes.
- the Bed Status screen includes a Chart button or icon 272 , a View History button or icon 274 , and a Back button or icon 276 as shown in FIGS. 6-10 .
- the Bed Status screen also has bed icon 225 that is substantially similar to bed icon 225 of screen 200 and that visually conveys further information about bed 10 in some embodiments as also shown in FIGS. 6-10 .
- the Charting Home screen 240 is displayed on graphical user interface 142 without any of the bed status data on the Bed Status screen being charted or sent to the EMR system 176 .
- a Bed Status History screen 286 appears on graphical user interface 142 . Screen 286 is discussed in further detail below.
- a Charting Confirmation pop up window 278 appears on the graphical user interface 142 as shown in FIG. 11 .
- Window 278 has text 280 which asks whether the caregiver wants to chart the bed status data appearing in bubbles 256 , 258 , 260 , 262 and read out field 257 to the EMR of the associated patient.
- a Yes button or icon 282 and a No button or icon 284 are provided in window 278 .
- Charting Home screen 240 is once again displayed on graphical user interface 142 and none of the bed status data appearing on the Bed Status screen is charted or sent to the EMR system 176 .
- the bed status data appearing in bubbles 256 , 258 , 260 , 262 and read out field 257 is charted to the EMR of the associated patient and the Bed Status History screen 286 automatically appears on the graphical user interface 143 thereafter as shown, for example, in FIG. 12 .
- the Bed Status History screen 286 has a left scroll arrow 288 and a right scroll arrow 290 that are selected to scroll through Bed Status data that has been charted to the EMR system for the particular patient. If the Yes button 282 was selected on window 278 , then screen 286 initially shows the data that has just been charted to the EMR system 176 along with an associated date and time stamp 292 .
- the date and time stamp 292 changes to match the date and time at which the particular data, which appears in bubbles 256 , 258 , 260 , 262 and field 257 of partial bed indicia 252 , was charted.
- Bed History screen 286 is arrived at in response to pressing the View History button 274 of the Bed Status screen, then screen 286 initially shows the most recent bed status data that has been previously been charted to the EMR system 176 and scroll arrows 288 , 290 are used in the same manner as just described. Screen 286 also has back button 276 that, when selected, results in the Charting Home screen 240 shown in FIG. 5 for example, being displayed on the graphical user interface 142 .
- a Patient Info screen 294 is displayed on graphical user interface 142 as shown for example in FIG. 13 .
- Charting tab 210 changes title from “Charting” to “Patient Info” on screen 294 and so is indicated as Patient Info tab 210 ′.
- a similar title change for tab 210 occurs in some embodiments when Bed status icon 244 is selected on screen 240 . That is, in some embodiments, tab 210 changes title from “Charting” to “Bed Status” in response to selection of tab 244 on screen 240 .
- Screen 294 includes a heart rate field 296 , a non-invasive blood pressure (NIBP) field 298 , a temperature field 300 , a pulse oximetry (SpO2) field 302 , and a respiration rate field 304 .
- NIBP non-invasive blood pressure
- SpO2 pulse oximetry
- a respiration rate field 304 includes a heart rate field 296 , a non-invasive blood pressure (NIBP) field 298 , a temperature field 300 , a pulse oximetry (SpO2) field 302 , and a respiration rate field 304 .
- NIBP non-invasive blood pressure
- SpO2 pulse oximetry
- beds 10 has integrated sensors for sensing some or all of the patient data associated with fields 296 , 298 , 300 , 302 , 304 .
- fields 296 , 298 , 300 , 302 , 304 are auto-populated with the sensed patient data.
- control circuitry 98 of bed 10 is in communication with other patient care equipment, either via in-room connections (wired and/or wireless) between bed 10 and the other equipment or via communication infrastructure 178 , then fields 296 , 298 , 300 , 302 , 304 are auto-populated with the corresponding patient data received by bed 10 from the other patient care equipment that gathers the patient data initially.
- the caregiver touches the particular field 296 , 298 , 300 , 302 , 304 into which the data is to be entered manually.
- FIGS. 14-18 an example is given regarding the various options for manually entering the patient's heart rate data into field 296 .
- a similar process is followed for entering the corresponding types of data into the other fields 298 , 300 , 302 , 304 .
- the caregiver may have measured the data himself or herself with a handheld or portable medical instrument or the caregiver may be viewing the data on some other device that is monitoring the patient, such as a vital signs monitor like an electrocardiograph (EKG), electronic blood pressure cuff, or pulse oximeter, just to name a few.
- a vital signs monitor like an electrocardiograph (EKG), electronic blood pressure cuff, or pulse oximeter, just to name a few.
- field 296 becomes populated with a default value in those instances when no data has been previously charted to the EMR system 176 and becomes populated with the data value most recently charted to the EMR system 176 .
- bed 10 retrieves the previously charted data from the EMR system 176 and in other embodiments, bed 10 stores the charted data locally, such as in memory 174 , for subsequent retrieval.
- the number 90 appears in field 296 as shown in FIG. 14 to indicate that the previously charted heart rate, in beats per minute, for the associated patient on bed 10 is 90 beats per minute.
- An OK icon or button 306 , a plus icon or button 308 and a minus icon or button 310 also appears on screen 294 to the right of field 296 in response to field 296 being touched as also shown in FIG. 14 .
- the caregiver presses or touches the OK icon 306 at which point the OK icon 306 become highlighted, such as by changing color, as indicated by the cross hatching in FIG. 15 , to provide the caregiver with visual feedback that icon 306 has been successfully pressed and then the caregiver stops pressing or touching icon 306 .
- the highlighting from icon 306 disappears and a date and time stamp 312 appears adjacent to field 296 to indicate the date and time that the particular patient data, the heart rate in this instance, was measured.
- the plus icon 308 or the minus icon 310 are pressed by the caregiver to increase or decrease, respectively, the data value. For example, if the caregiver touches the plus icon 308 , the plus icon 308 becomes highlighted, such as by changing color, as indicated by the cross hatching in FIG. 17 , to provide the caregiver with visual feedback that icon 308 has been successfully pressed and the heart rate is then increased. To increase the heart rate data by additional integers, the caregiver simply continues pressing or touching icon 308 while the data value increments. Once the data value reaches the desired value, the caregiver stops pressing or touching icon 308 .
- the highlighting from icon 308 disappears and the associated date and time stamp 312 appears adjacent to field 296 to indicate the date and time that the particular patient data, the heart rate in this instance, was measured as shown in FIG. 18 .
- the minus icon 310 works in a similar fashion to decrement the data value.
- each of fields 296 , 298 , 300 , 302 , 304 has had data manually entered by the caregiver and there is a date and time stamp 312 adjacent to each field 296 , 298 , 300 , 302 , 304 .
- patient data corresponding to heart rate in beats per minute (HR/Min), blood pressure in millimeters of Mercury (mmHg), temperature in both degrees Fahrenheit and degrees Celsius (° F./° C.), pulse oximetry as a percentage of saturation of peripheral oxygen (SpO2) which corresponds to a percentage saturation of hemoglobin with oxygen, and respiration rate in breaths per minute (Resp/Min) can be entered manually on Patient Info screen 294 .
- other types of patient data can be entered manually on screen 294 in addition to or in lieu of the data discussed above.
- Invasive blood pressure and patient height are examples of another type of patient data. It should also be noted that use of other units of measure for the entered data is within the scope of this disclosure.
- Patient Info screen 294 includes a Chart button or icon 314 , a View History button or icon 316 , and a Back button or icon 318 .
- the caregiver presses Chart icon 314 and the Chart data screen or window 278 shown in FIG. 11 appears on the graphical user interface 142 .
- the caregiver selects the Yes icon 282 on screen 278 to send the patient data shown on screen 294 to the EMR system 176 for charting in the patient's medical record. If the caregiver does not wish to chart the data to the EMR system 176 , then the caregiver selects the No icon 284 of screen 278 to return to screen 294 without the patient data being sent to the EMR system 176 .
- Charting Home screen 240 appears on graphical user interface 142 .
- Charting Home screen 240 appears on the graphical user interface 142 as shown, for example, in FIG. 20 .
- Patient Info History screen 320 has a left scroll arrow 322 and right scroll arrow 324 that are selected to scroll through patient data that has been charted to the EMR system for the particular patient.
- the left scroll arrow 322 is selected to scroll back in time and the right scroll arrow 324 is used to scroll forward in time.
- scroll arrows 322 , 324 are used to retrieve data charted to the EMR system 176 at different times, fields 296 , 298 , 300 , 302 , 304 are populated with the charted data and a date and time stamp 326 is shown in the area between arrows 322 , 324 to indicate the date and time at which the associated data was charted to the EMR system 176 .
- Patient Info History screen 320 includes a Graph button or icon 328 as shown in FIG. 20 .
- a Patient Info History Graph screen 330 appears on the graphical user interface 142 .
- Patient Info History Graph screen 330 includes a graphical representation of the patient data stored in the EMR system at different times.
- the caregiver double taps on screen 330 to return to the Patient Info History screen 320 .
- a Close button or Back button is provided. Selection of the Back of Close icon returns the caregiver to the Patient Info History screen 320 and then Back button 318 is used on screen 320 to return the caregiver to the Charting Home screen 240 as mentioned above.
- left and right scroll arrows are provided on screen 330 so that the caregiver is able to scroll to other portions of the patient info history graph if not all of the graph is able to fit on screen 330 .
- an Activity screen 332 appears on the graphical user interface 142 as shown, for example in FIG. 22 .
- the Charting tab 210 changes its title from “Charting” to “Activity” and so is indicated as Activity tab 210 ′′.
- Activity screen 332 has an Add Entry button or icon 334 , a Chart button or icon 336 , a View History button or icon 338 , and a Back button or icon 340 .
- an Activity Add Entry screen 342 appears on the graphical user interface 142 as shown, for example, in FIG. 23 .
- the Activity Add Entry screen 342 has a menu 344 of activities in the form of selectable buttons or icons including On Back icon 346 , Right Side icon 348 , Left Side icon 350 , Chair in Room icon 352 , and Chair Mode Bed icon 354 .
- On Back means that the patient has been turned onto their back
- Right Side means that the patient has been turned on their right side
- Left Side means that the patient has been turned on their left side.
- Chair in Room means that the patient has been moved out of bed 10 and is sitting in a chair in the patient's room and Chair Mode Bed means that the bed has been moved into a chair position.
- the activities listed on menu 344 are mutually exclusive of each other. That is, the patient can only be doing one of those activities at a time.
- the description below of FIGS. 24-26 relates to selection of the On Back icon 346 from menu 344 .
- a similar process is followed and a similar set of screens as those of FIGS. 24-26 result in response to selection of the other icons 348 , 350 , 352 , 354 from menu 344 on screen 342 .
- an Activity On Back screen 356 appears on the graphical user interface 142 as shown, for example, in FIG. 24 .
- the Activity On Back screen 356 has a field 358 containing the text “Patient turned on back” and an “x” icon 360 .
- the caregiver is able to select Chart icon 336 and the Chart Confirmation window 278 of FIG. 11 appears on interface 142 .
- the caregiver selects Yes icon 282 to chart the activity data to the patient's EMR in the EMR system 176 or selects the No icon 284 to return to screen 356 without charting the activity data.
- Activity screen 332 once again appears on interface 142 .
- the caregiver While viewing screen 356 , if the caregiver wishes to remove the activity without charting it to the patient's EMR, the caregiver selects the “x” icon 360 which results in an Activity Remove Entry screen 362 appearing on the graphical user interface 142 as shown in FIG. 25 .
- the Activity Remove Entry screen 362 has a Yes icon or button 364 and a No icon or button 366 along with the text “Are you sure you want to remove this chart entry?” If the caregiver selects the No icon 366 on screen 362 , the caregiver returns to screen 356 of FIG. 24 . If the caregiver selects the Yes icon 364 on screen 362 , then activity appearing on screen 356 is erased and the caregiver is returned to screen 332 of FIG. 22 .
- an Activity View History screen 368 appears on the graphical user interface 142 as shown, for example, in FIG. 26 .
- a line of text 370 stating “Patient turned on back.—3:11 AM” appears on screen 368 . If additional activities had been charted to the EMR system 176 for the associated patient in the past, then additional lines of text, similar to text 370 would also be shown on screen 368 . If so many activities had been charted for the patient that all of the lines of text could not fit on screen 368 , then Up and Down scroll arrows are provided, in some embodiments, to permit the caregiver to scroll to the other activities entries.
- a Scale screen 372 appears on the graphical user interface 142 .
- Screen 372 includes a Last Weight field 374 , a Last Weighed field 376 , a Last Zeroed field 378 , an EMR Status field 380 , and a Weight History Graph field 382 .
- each of fields 374 , 376 , 378 , 380 has N/A to indicate that the patient has not yet been weighed and therefore, no data is available for those fields and field 382 does not have a weight graph since the patient has not yet been weighed.
- Screen 372 also has a Zero Scale button or icon 384 , an Adjust weight button or icon 386 , a kg button or icon 388 , a Weight History button or icon 390 , and a Weigh Patient button or icon 392 .
- the Zero Scale button 384 is used to set the tare weight of the scale system 270 .
- the Adjust Weight button 386 is used to adjust the patient's weight reading up or down using plus and minus keys that appear on interface 142 after button 386 is selected.
- the kg button 388 is used to indicate whether the caregiver wishes to display the patient's weight in kilograms (kg) or pounds (lb).
- buttons 388 and 388 are pressed, the scale system 270 switches to pounds units and the units “lb” appear in button 388 to indicate that the weight units are being display in lbs.
- the Weight History button 390 is pressed to cause a weight graph to appear in field 382 .
- a Scale Let Go screen 394 appears on the graphical user interface 142 for a threshold amount of time, such as three seconds in the illustrative example.
- Screen 394 has the text “Let go of bed” and “Weighing Patient in 2 seconds.”
- the text on screen 394 counts down in one second increments from the three second threshold.
- a Scale Weighing screen 396 appears on the graphical user interface 142 as shown in FIG. 29 . Screen 396 is shown on interface 142 while scale system 270 of hospital bed 10 weighs the patient.
- Scale Accept screen 398 appears on the graphical user interface 142 as shown, for example, in FIG. 30 .
- Scale Accept screen 398 has a New Patient Weight field 400 in which the measured patient weight is displayed. In the illustrative example, the patient's weight is 96.0 kg.
- Screen 398 also has a Cancel button or icon 402 , a Re-Weigh button or icon 404 , and an Accept button or icon 406 .
- Cancel button 402 is selected to cancel the weight reading that has just been taken.
- Re-Weigh button 404 is selected if the caregiver wishes to re-weigh the patient for some reason, such as the bed being bumped or the patient moving at the time during which the previous weight reading was being taken.
- the Accept button 406 is pressed to accept the weight after the patient has been weighed. Depending upon whether an EMR Autosend feature is enabled or disabled, as will be discussed below in connection with FIGS. 31-34 , the selection of Accept 406 either stores the patient weight in memory 174 of control circuitry 98 and initiates the charting of the weight reading to the EMR system 176 (if the EMR Autosend feature is enabled) or stores the patient weight in memory 174 of control circuitry 98 and does not initiate the charting of the weight reading to the EMR system 176 (if the EMR Autosend feature is disabled).
- a Scale Yellow screen 408 appears on the graphical user interface 142 as shown, for example, in FIG. 31 . If the EMR Autosend feature is enabled, then after the Accept button 406 is selected and the Chart Confirmation window 278 of FIG. 11 appears on the graphical user interface 142 . Selection of the Yes button 282 on window 278 results in the Scale Yellow screen 408 appearing on interface 142 and the patient's weight is sent to the EMR system 176 for charting in the patient's EMR as mentioned above. Screen 408 has fields 374 , 376 , 380 highlighted yellow, as indicated by the cross hatching in FIG.
- field 382 shows a graph including the patient's current weight. If the patient had been weighed multiple times, then additional data points would appear on the graph in field 382 .
- the text “Sent 08/18/10, 3:52 AM” appears in field 380 to indicate the date and time at which the patient's weight was charted in the EMR system 176 .
- the EMR Autosend feature is enabled in the illustrative example. If the EMR Autosend feature were disabled, then the text N/A would have remained in field 380 on screens 408 , 410 .
- a Tools Autosend Disabled screen 412 appears on the graphical user interface 142 .
- Screen 412 includes a Patient History bar 414 with a Last Erased field 416 , a View History icon or button 418 , and an Erase (New Patient) button or icon 420 .
- Button 420 is selected, in some embodiments, to erase the data stored in memory 174 of bed 10 for a previous patient so that only new data associated with a new patient is shown on the various screens discussed herein on the graphical user interface 142 .
- memory 174 still stores the data from previous patients, it just is not shown on interface 142 once a new patient has been assigned to bed 10 .
- Button 418 is selected to view the history information associated with the patient assigned to bed 10 .
- the last erased field 416 indicates the date and time at which the patient history data was last erased.
- Screen 412 also includes a Date and Time bar 422 that includes a Date and Time field 424 , a Change button or icon 426 , and an Erase (New Patient) button or icon 428 .
- Button 428 is selected to erase the date and time information for the previous patient.
- Field 424 shows the current date and time.
- Change button 426 is used to change the date and time, for example, if the date and time shown in field 424 is inaccurate. Selection of change button 426 results in keys being displayed for changing the date and time.
- Screen 412 further has a Language bar 430 that includes a Language field 432 and a Change icon or button 434 .
- the word “English” appears in the Language field 432 in the illustrative example.
- Button 434 is selected to change the language of the various screens that appear on graphical user interface 142 . Selection of button 434 results in a menu of language options being displayed on interface 142 and the caregiver can then select the desired language on the menu of language options.
- Screen 412 has an EMR Autosend bar 436 that includes an Enabled/Disabled field 438 and a Change button or icon 440 .
- the word “Disabled” appears in field 438 to indicate that the EMR Autosend feature of bed 10 is disabled. If the caregiver touches button 440 on screen 412 of FIG. 33 , field 438 becomes highlighted, such as yellow highlighting, as indicated by the cross hatching in FIG. 34 and the word “Disabled” changes to “Enabled” to indicate that the EMR Autosend feature of bed 10 is enabled. After a threshold period of time, such as three seconds, for example, the highlighting fades and disappears as shown in FIG. 35 .
- button 440 is used to toggle the EMR Autosend feature between being enabled and being disabled and field 438 visually indicates whether or not the EMR Autosend feature is enabled or disabled.
- a Surface screen 446 appears on the graphical user interface 142 in response to the Surface tab 208 being selected.
- Surface screen 446 has user inputs that are touched to control various functions of mattress 22 of hospital bed 10 .
- screen 446 has a Max-Inflate button or icon 448 that is selected to inflate the bladders of the mattress 22 to their maximum programmed pressures, a Turn Right icon 450 that is selected to inflate a right turn bladder of mattress 22 to turn the patient onto their right side, a Turn Left button 452 that is selected to inflate a left turn bladder of mattress 22 to turn the patient onto their left side, a Remind Me icon or button 454 that is selected to set a timer for reminding the caregiver when to turn the patient, a Seat Deflate button or icon 456 that is selected to deflate bladders of mattress 22 in the seat section to facilitate easier side egress and ingress of the patient, and a Start button or icon 458 that is pressed to begin the
- a Chart Data to EMR screen 460 appears on the graphical user interface 142 .
- the Start button 458 is omitted such that the surface function associated with buttons 448 , 450 , 452 , 456 begins in response to the respective button being selected.
- Chart Data to EMR screen 460 allows the caregiver to send information to the EMR for charting regarding use of the surface functions of mattress 22 for the patient.
- Screen 460 has a keyboard 462 in which the caregiver types his or her PIN and then an OK button 468 that is selected to chart the data to the EMR system 176 .
- a Clear button 464 having the letters “CLR” therein, is provided in keyboard 462 and is selected if a mistake is made in entering the PIN. If the caregiver does not wish to chart the surface information to the EMR system 176 , icon 466 is selected.
- a first Turn Patient Right screen 470 appears on the graphical user interface 142 in response to a valid PIN being entered and the OK button 468 being touched on the Chart Data to EMR screen 460 after Turn Right button 450 has been touched on the Surface screen.
- the first Turn Patient Right screen 470 has a line of text 474 stating “Turn sent to EMR: 7/9/2008 1:44:44 PM” to confirm that turn data has been sent to the EMR for charting.
- Screen 470 also has a countdown timer bar 472 that indicates how much time is left in the turn. In the illustrative example, 29 minutes, 37 seconds remains in the turn. Bar 472 fills in as time elapses during the turn.
- a second Turn Patient Right screen 478 appears on the graphical user interface 142 in response to Cancel button 466 being touched on the Chart Data to EMR screen 460 after the Turn Right button 450 has been touched on the Surface screen 446 .
- Screen 478 is basically the same as screen 470 except that the line of text 474 appearing on screen 470 of FIG. 39 is omitted from screen 478 of FIG. 40 .
- Each of screens 470 , 478 has a Cancel button or icon 476 that is selected to cancel the turn before the full amount of time for the term has been reached.
- Screens substantially the same as screens 470 , 478 appear on the graphical user interface 142 in response to Left Turn icon 452 being selected on screen 446 rather than Right Turn icon 450 being selected and after the desired selections are made on screen 460 of FIG. 38 .
- Similar screens to screens 470 , 478 are provided in response to use of icons 448 , 456 on screen 446 and after desired selections are made on screen 460 .
- a Patient Contraindications screen 480 is another example of a screen that appears on the graphical user interface 142 in some embodiments.
- Screen 480 includes a contraindications window 482 in which a list of a patient's drug and food allergies, a patient's needle sticks contraindications, and other contraindications for the patient appears.
- window 482 indicates that the associated patient has drug allergies of penicillin and xmocillin under the “Drug Allergies” heading and has food allergies of mushrooms and peanuts under the “Food Allergies” heading.
- the patient's left arm is contraindicated for needle sticks under the “Contraindicated Needle Sticks” heading.
- This contraindication is also shown graphically on a patient/bed icon via a colored region 486 corresponding to a patient's left arm.
- region 486 is colored red in some embodiments, although other colors or graphical indicia such as patterns, shading, and so on can be used if desired.
- a contraindication relating to patient egress from the patient's left side is indicated in window 482 under the “Contraindicated Other” heading.
- screen 480 includes a patient button or icon 488 that is touched or selected to bring up window 482 .
- An Alarm Silence icon or button 490 is also provided on screen 480 and is selectable to silence any alarms that may occur on bed 10 .
- a vertical scroll bar 492 with a scroll icon 494 is provided on screen 480 to permit a caregiver to scroll to other buttons or icons such as, for example, a charting icon or alarms icon that will appear in the same area on screen 490 as is occupied by buttons 204 , 208 , 210 and 488 in FIG. 41 .
- screen 480 indicates the name of the patient, the patient's doctor, and the patient's assigned nurse, although, in some embodiments, some or all of this information is omitted.
- the information regarding contraindications listed in window 482 of screen 480 is communicated to bed from remote computer 176 in some embodiments. This occurs in response to button 488 being selected in some embodiments. In other embodiments, the information is communicated to bed 10 for storage in memory 174 once a particular patient is associated with bed 10 . In such embodiments, when button 488 is selected the contraindications information stored in memory 174 is displayed. In still other embodiments, graphical user interface 142 provides for the direct entry of such information via a displayed keyboard, for example, or via drop down menus that list common contraindications in the relevant categories under the headings provided in window 482 .
- the information displayed is obtained from doctor's orders that are entered into and/or stored in remote computer 176 and/or entered using graphical display screen 142 .
- the information displayed on screen 142 includes a patient schedule so that caregivers can see at the bedside what operations and times the patient has in a “Day-At-A-Glance” type of format for calendars. This type of information is useful in determining the contraindications that appear in window 482 .
- the bed 10 should be configured in a reverse Trendelenburg position with a lowered head section 40 .
- the head section 40 should not be raised after the patient has returned from spinal surgery.
- Another example of a contraindicated bed movement is moving the foot and thigh sections 43 , 44 of the bed after a patient has had leg surgery.
- examples of messages that appear include “Patient Movement—Keep head section lowered and Keep upper frame in the reverse Trendelenburg position,” “Patient Movement—Keep thigh and foot sections flat,” “Patient Movement—Keep thigh and foot sections raised,” “Do not raise head section,” “Do not lower thigh and foot sections” and so forth depending upon the type of patient and/or bed movement to be avoided.
- display screen 142 displays a warning message such as, for example, “The motion you are trying, [attempted motion listed here], is contraindicated to the following doctor's orders: [doctor order listed here]. Please contact [doctor's name obtained from ADT or EMR system listed here] for more information or to lift the order.” Displaying warnings on the graphical user interface 142 if the caregiver attempts to move the bed in a manner that is contraindicated based on information from remote computer 176 improves patient safety and enhances patient outcomes.
- display screen 142 has one or more override icons that are selectable to move the bed in the contraindicated manner. The caregiver is required to make the proper override selections on a series of two or more screens or windows in some embodiments.
- caregivers are aided in remembering the status of each patient and what doctor's orders are currently in effect for the various patients that caregivers are caring for during their shift. This also facilitates in shift hand off of patients from one set of caregivers to another. By warning caregivers about contraindicated bed or patient movements, unwanted bed or patient movements are avoided. This also reduces accidental activation by the patient inadvertently pressing on the outside controls (e.g., the user inputs on the side of the siderail facing away from the patient) because the patient would not be able to see display screen 142 and click through the proper sequence of steps to override the contraindication and proceed with the bed movement.
- a Charting Intake/Output screen 500 includes an Intakes table 502 that appears on the graphical user interface to show information about the food and beverages the patient has consumed at various times and to show an Outputs table 504 having information about the patient's excretions.
- Charting button 210 is selected which, in some embodiments, results in a list of various charting options.
- the charting options are described on buttons in some embodiments and appear on a menu of options in other embodiments. For example, after Charting icon 210 is selected, an Intake/Output button (not shown) and a Vital Signs button (not shown) may appear. Selection of the Intake/Output button results in screen 500 being displayed on the graphical user interface 142 .
- Selection of the Vital Signs button results in screens that are similar or identical to screen 294 of FIG. 13 appearing on the graphical user interface 142 .
- the user must first enter a PIN on a log in screen as is described above, for example, in connection with screen 226 of FIG. 4 .
- table 502 includes columns with the headings Intakes, Meal, Liquid, Assistance and Time as shown in FIG. 42 .
- the Intakes column includes entries such as Breakfast, Lunch, Snack, Dinner and Other to indicate the type of intake the patient had.
- the Meal column indicates the per cent amount of the intake the patient consumed. In the illustrative example, the patient ate half of his or her breakfast as indicated by the “50%” next to the word Breakfast and the patient ate all of his or her snack as indicated by the “100%” next to the word Snack in table 502 .
- the Liquid column indicates the volume or amount of liquid consumed by the patient in units of milliliters (ml).
- the Assistance column indicates the amount of help provided by a caregiver to the patient during the meal.
- a caregiver had to feed the entire breakfast to the patient as indicated by the word “Total” in table 502
- a caregiver provided some amount of help to the patient during lunch as indicated by the word “Assist” in table 502
- the patient was able to feed himself or herself the remainder of the intakes in table 502 as indicated by the word “Self” shown in each of the remaining rows of table 502 .
- the Time column indicates the time of day that the patient had the particular intake.
- a Date column (not shown) is also shown in table 502 .
- a scroll bar 492 ′ and scroll icon 494 ′ are provided on the right hand side of table 502 in the illustrative example for scrolling up and down to other entries of table 502 .
- Screen 500 further has an Add Intake Item button or icon 506 and a View Intake History button or icon 508 to the right of table 502 in the illustrative example of screen 500 .
- Selection of button 506 permits a caregiver to add another row of information in table 502 via drop down menus or a keyboard or the like.
- Selection of button 508 provides a caregiver with access to the patient's historical intake information in table 502 .
- the historical intake information corresponds to the patient's intake on one or more preceding days, for example.
- the intake information is retrieved from remote computer 176 in response to selection of button 508 in some embodiments.
- intake information entered on table 502 is transmitted by bed 10 to computer 176 for storage in the patient's electronic medical record.
- the intakes information is transmitted automatically at preset times or periodically to computer 176 from bed 10 in some embodiments. In other embodiments, the intakes information is retrieved from bed 10 by a user at computer 176 . Alternatively or additionally, it is within the scope of this disclosure for the intakes information to be stored locally in the memory 174 of bed 10 .
- table 504 includes columns with the headings Outputs, Urine, Emesis, BM/Stool and Time as shown in FIG. 42 .
- the Outputs column indicates the manner in which the output is to be measured, either Volume/Size or Count. Volume/Size and Count correspond to the rows of table 504 in which information is input.
- the Urine column indicates the amount or volume, in milliliters (ml), when a patient urinates.
- the Emesis column indicates the amount or volume when a patient vomits. In the illustrative example, the patient has not vomited so Not Applicable (“NA”) is indicated in the Emesis column for all outputs.
- NA Not Applicable
- the BM/Stool column indicates a Volume/Size of Medium and a Count of 01 for the patient's bowel movement which, as indicated in the Time column, occurred at 11:30 am.
- the Time column indicates the time of day that the patient had the particular output.
- a Date column (not shown) is also shown in table 504 .
- a scroll bar 492 ′′ and scroll icon 494 ′′ are provided on the right hand side of table 502 in the illustrative example for scrolling up and down to other entries of table 504 .
- Screen 500 further has an Add Output Item button or icon 510 and a View Output History button or icon 512 to the right of table 504 in the illustrative example of screen 500 .
- Selection of button 510 permits a caregiver to add another row of information in table 504 via drop down menus or a keyboard or the like.
- Selection of button 512 provides a caregiver with access to the patient's historical outputs information in table 504 .
- the historical outputs information corresponds to the patient's outputs on one or more preceding days, for example.
- the outputs information is retrieved from remote computer 176 in response to selection of button 512 in some embodiments.
- outputs information entered on table 504 is transmitted by bed 10 to computer 176 for storage in the patient's electronic medical record.
- the outputs information is transmitted automatically at preset times or periodically to computer 176 from bed 10 in some embodiments. In other embodiments, the outputs information is retrieved from bed 10 by a user at computer 176 . Alternatively or additionally, it is within the scope of this disclosure for the outputs information to be stored locally in the memory 174 of bed 10 .
- the patient's intakes and outputs information is not input at bed 10 but is input at remote computer 176 .
- a Refresh button or icon 514 is provided on screen 500 . Selection of icon 514 results in retrieval by bed 10 of the inputs and outputs information from the remote computer 176 .
- the graphical user interface 142 is used to enter the inputs and outputs information for a patient into memory 176 of bed 10 and then, bed 10 pushes that information out to the remote computer 176 for storage in a patient's electronic medical record, for example.
- the graphical user interface 142 is used to request or pull the inputs and outputs information from the remote computer 176 for display.
- Screen includes 500 further includes a ml/cc button or icon 516 for toggling between volume units of milliliters (ml) and cubic centimeters (cc).
- a Miscellaneous Functions screen 520 includes icons or buttons that are selected to navigate to the screens of FIGS. 44-48 as will be further discussed below.
- a user scrolls using icon 494 until a Miscellaneous Functions or Other Functions button or icon (not shown) appears on the graphical user interface 142 and then, selection of that button, causes screen 520 to appear.
- Screen 520 includes a Rounding Checklist button or icon 522 , a Procedures icon or button 524 , a Services icon or button 526 , an EMR Dashboard button or icon 528 , and a Network/Patient Association button or icon 530 .
- Selection of button 522 on screen 520 results in a Rounding Checklist screen 530 appearing on the graphical user interface 142 as shown, for example, in FIG. 44 .
- Screen 530 has a list of tasks or functions that a caregiver should perform in connection with an associated patient.
- the rounding checklist include the following tasks and functions: putting siderails up, setting brakes, putting an upper frame of the hospital bed in its lowest position, raising a head section of the hospital bed to a position above 30° of elevation, making sure a pathway to a bathroom is clear, making sure a night light is on, arming a bed exit system, assessing a pain level of a patient, making sure entertainment or nurse call controls are with reach of a patient, checking a patient's vital signs, checking whether IV pump bag or drainage receptacle needs to be replaced or emptied, turning a patient, making sure no trip hazards are present in a room, checking or changing bandages, checking to see if a patient needs drinking water, and checking to see if a patient needs to go to a bathroom.
- Check boxes 532 are provided on screen 530 for selection by a caregiver as the tasks or functions are completed.
- the first two tasks at the top of the Rounding Checklist have been completed but the remaining tasks and functions have not.
- Procedures screen 540 appears on the graphical user interface 142 as shown, for example, in FIG. 45 .
- Screen 540 has a number of Procedures tabs 542 that are selectable to view a list of steps of an associated procedure.
- tabs 542 are depicted generically as being related to Procedure 1, Procedure 2, Procedure 3, and Procedure 4.
- the wording in tabs 542 is edited to be more descriptive of the associated procedure. Such editing is accomplished using a keyboard or other administrative tool such as a lap top or other computer that interfaces with control circuitry 98 of bed 10 via a suitable port or coupler, including wireless coupling devices.
- Procedure 3 has been selected and a set of Video Links buttons or icons 544 are provided adjacent to each step of the list of steps on screen 540 .
- Selection of a particular icon 544 permits a caregiver to view a video of an associated step of the procedure.
- the video plays on the graphical user interface 142 and then once the video is finished, screen 540 automatically reappears on the interface 142 .
- the video played on interface 142 is retrieved from remote computer 176 in response to selection of the corresponding button 544 .
- the graphical user interface 142 of bed 10 is used to link to video clips which demonstrate on the graphical user interface 142 at least a portion of a procedure.
- Screen 540 has check boxes 546 adjacent to each step for selection by a caregiver as the steps of an associated procedure are completed.
- Services screen 550 appears on the graphical user interface 142 as shown, for example, in FIG. 46 .
- Services screen 550 has a set of service buttons or icons associated with other services available in the healthcare setting.
- graphical user interface 142 is capable of providing caregiver and/or patient access to a full range and variety of services at the bed side or point of care.
- Some of these services are hospital information technology (IT) access related (e.g., EMR, pharmacy, food service, peripheral control, room control), product service and maintenance related, bed function related, and entertainment related (e.g., television control, radio control, web browsing).
- IT hospital information technology
- a patient's healthcare needs relating to charting, dietary and nutrition needs, statistics reporting and/or trending, pharmacy or prescriptions and other activities are able to be carried out using graphical user interface 142 on bed 10 in a HIPAA-compliant, validated use environment in close proximity to the patient and optimized for use case.
- screen 550 has a Bed Set button or icon 552 , a Physical Therapy icon or button 554 , a Fluid Management button or icon 556 , a Dietary button or icon 558 , a Room icon or button 560 , a Chart icon or button 562 , a Move Patient button or icon 564 , a Pharmacy button or icon 566 , and an Entertainment button or icon 568 as shown in FIG. 46 .
- Selection of Bed Set button 552 results in a signal being sent from bed 10 to remote computer 176 (e.g., a computer associated with housekeeping scheduling) to indicate that bed 10 is ready to be set up for the next patient.
- remote computer 176 e.g., a computer associated with housekeeping scheduling
- Selection of Physical Therapy button 554 results in information about physical therapy, such as the associated patient's physical therapy schedule, being displayed on the graphical user interface 142 .
- graphical user interface 142 displays icons or buttons that are used to set up or change a time for one or more of the patient's physical therapy sessions.
- Selection of Fluid Management button 556 on screen 550 results in information about fluid management being shown on graphical user interface 142 .
- interface 142 has buttons or icons that are selected to indicate that a new IV fluid container is needed and/or that a new Foley bag is needed and/or to indicate that the patient needs more juice or water. Such requests are communicated from bed 10 to remote computer 176 at a master nurse station in some embodiments.
- Selection of Dietary button 558 results in dietary information being shown on graphical user interface 142 .
- interface 142 has buttons or icons for making food and/or drink choice selections for the patient's upcoming meals or snacks in some embodiments.
- the options for such food and/or drink choices are communicated to bed 10 from a remote computer 176 associated with a healthcare facilities' food services department and the food and/or drink choice selections are communicated from the bed 10 to the remote computer 176 of the food services department.
- Selection of Room button 560 on screen 550 results in room environmental controls being displayed on graphical user interface 142 .
- Such room controls include buttons or icons that are used to control room lighting and/or room temperature.
- Selection of Entertainment button 568 results in entertainment controls being displayed on graphical user interface 142 .
- Such entertainment controls include buttons or icons that are used to control a television and/or a radio that are present in the patient's room or included as part of bed 10 .
- the entertainment controls therefore, include channel selection and volume control icons or buttons.
- Selection of Pharmacy icon 566 results in pharmacy information, such as the associated patient's scheduled medicines, being displayed on the graphical user interface 142 .
- graphical user interface 142 displays icons or buttons that are used to request additional medicine for the patient.
- button 566 is selected, communication with remote computer 176 associated with a healthcare facilities' pharmacy department is established.
- the pharmacy information is communicated to bed 10 from a remote computer 176 associated with a healthcare facilities' pharmacy department and any pharmacy requests made via graphical user interface 142 of bed 10 are communicated from the bed 10 to the remote computer 176 of the pharmacy department.
- Selection of Move Patient button 564 results in a signal being sent from bed 10 to remote computer 176 (e.g., a computer associated with orderly and/or transporter scheduling) to indicate that the associated patient needs to be moved, such as being moved from bed 10 to a stretcher or chair.
- Selection of Chart button 562 results in a Chart screen 570 being displayed on graphical user interface 142 as shown, for example, in FIG. 47 .
- the Chart screen has a set of Chart buttons or icons that are selectable to view various data sets available in a patient's electronic medical record.
- screen 570 includes a Vitals button or icon 572 , a Status icon or button 574 , a Profile icon or button 576 , a Report button or icon 578 , and a Trend icon or button 580 .
- Selection of Vitals button 572 on screen 550 results in the associated patient's vital signs information being displayed on graphical user interface 142 .
- the vital signs information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the vital signs information on graphical user interface of bed 10 .
- selection of button 572 results in a screen substantially similar or identical to screen 294 of FIG. 13 being displayed on interface 142 for entry of the patient's vital signs to the electronic medical record via bed 10 .
- Selection of Status button 574 on screen 570 results in the associated patient's status information being displayed on graphical user interface 142 .
- the status information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the status information on graphical user interface of bed 10 .
- selection of button 574 results in a screen being displayed on interface 142 for entry of the patient's status information into the electronic medical record via bed 10 .
- Selection of Profile button 576 on screen 570 results in the associated patient's profile information being displayed on graphical user interface 142 .
- the profile information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the profile information on graphical user interface of bed 10 .
- selection of button 576 results in a screen being displayed on interface 142 for entry of the patient's profile information into the electronic medical record via bed 10 .
- Selection of Report icon 578 results in the associated patient's medical report information being displayed on graphical user interface 142 .
- the medical report information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the report information on graphical user interface of bed 10 .
- selection of button 578 results in a screen being displayed on interface 142 for entry of the patient's medical report information into the electronic medical record via bed 10 .
- Selection of Trend icon 580 results in the associated patient's historical trending information being displayed on graphical user interface 142 .
- Screen 330 of FIG. 21 is an example of the type of trending information that is displayed on interface 142 in response to selection of icon 580 .
- FIG. 48 a Network/Patient Association screen 590 that appears on the graphical user interface in response to selection of a Network/Patient Association icon 530 on the Miscellaneous function screen 520 is shown.
- Screen 590 has a first block of text 592 providing information about network connectivity and a second block of text 594 providing information about a likely patient to be associated with the corresponding bed 10 . If the bed 10 is able to communicate with more than one network, then information about the multiple available networks is displayed in block of text 592 and the user then selects which of the available networks the bed 10 should use for communications.
- block of text 594 may have a list of patients that possibly may be associated with the bed 10 , in which case, the user selects the appropriate patient for association with bed 10 from the list of patients.
- the list of likely patients is established via programmed logic based on patient gender, weight, and so forth. For example, if a weigh scale system of bed 10 senses that the patient weighs 250 lbs., then a list of patients having similar such weight (within a tolerance range such as 10 or 20%, for example) may be displayed in block of text 594 .
- Other biometric data such a height, fingerprint, retinal scan, for example, may be used in some embodiments to filter the list of possible patients for display in block of text 594 .
- bed 10 includes the appropriate sensors (e.g., finger print reader or retinal scanner) for sensing the patient's biometric information.
- An Accept button or icon 596 is provided on the graphical user interface 142 for selection by a caregiver to accept association of the patient with the hospital bed 10 .
- the menu of patients is pulled from an ADT system in some embodiments.
- the menu is filterable or filtered in some embodiments. For example, a male/female selection and/or a race selection can be made on interface 142 and then only male or female names of the selected race, depending upon the selections, are listed in the menu. Provision of additional look-up tables to set or confirm doctor-to-patient, caregiver-to-patient, and bed-to-room associations.
- the menu of possible room selections to set the bed-to-room association is filtered based on signal strength sensed by one or more wireless receivers, either on the bed or off the bed.
- the caregiver simply types the room number on the graphical user interface of bed 10 .
- Messages of the graphical user interface 142 are provided at preset times in some embodiments to prompt the caregiver to confirm or edit patient-to-bed, caregiver-to-bed, bed-to-room, and doctor-to-patient associations.
- the preset times may correspond to shift changes, for example.
- Events may also trigger the caregiver to confirm or edit the various associations. For example, if the bed becomes unplugged and then is plugged back in after a threshold amount of time, which would occur when the bed is moved, then the caregiver is prompted to confirm or edit the associations on graphical user interface 142 . If the bed is unplugged for a small amount of time, such as 15 seconds or 30 seconds, for example, then re-verification of the associations is skipped in some embodiments.
- bed 10 receives various patient scores, such as the Braden score, a falls risk scores, a modified early warning score (MEWS), etc. and displays the scores on interface 142 .
- bed 10 receives the patient's vital signs information from the EMR system 176 and displays the data on interface 142 .
- features and functions of bed 10 are configured in a certain way based on the one or more scores and/or the vital signs data received from the EMR system 176 .
- SoC Standard of Care
- the SoC changes based on an event. For example, if bed receives data from a remote computer or an in-room device or via manual entry that a patient has started a morphine drip, the SoC protocol switches from low falls risk to high falls risk and the corresponding SoC check list is displayed on the graphical user interface 142 .
- Provision of a skin assessment tool such as a series of questions to answer or selections to make, on the graphical user interface 142 .
- Provision of a graphical user interface similar to interface 142 , but separate from bed 10 that has the same screens and functionality as discussed herein.
- This separate user interface is wall mounted in some embodiments and is included as part of a graphical audio station of a nurse call system in some embodiments.
Abstract
Description
- The present application claims the benefit, under 35 U.S.C. §119(e), of U.S. Provisional Application No. 61/391,261 which was filed Oct. 8, 2010 and which is hereby incorporated by reference herein.
- The present disclosure relates to patient support apparatuses such as hospital beds. More particularly, the present disclosure relates to patient support apparatuses having graphical user interfaces for viewing data and entering commands.
- Patient support apparatus having graphical user interfaces or display screens are known in the art. The graphical user interfaces of hospital beds oftentimes are touch screens that display icons which are used to control functions of the hospital bed or to display information of possible interest to caregivers concerning bed functions and features. See, for example, U.S. Patent Application Publication No. 2008/0235872 A1 which is titled “User Interface for Hospital Bed.” See also U.S. Patent Application Publication No. 2008/0172789 A1 which is titled “Patient Support with Improved Control.” While sophisticated beds with graphical display screens are known, a need persists in enhancing the connectivity between hospital beds and other computer systems and applications, such as an electronic medical record (EMR) system, in a healthcare facility.
- The present invention comprises one or more of the features recited in the appended claims and/or the following features which, alone or in any combination, may comprise patentable subject matter:
- A patient support apparatus, such as a hospital bed, may be provided for use in a healthcare facility which may have an electronic medical record (EMR) system. The hospital bed may include a patient support structure to support a patient, a graphical user interface coupled to the patient support structure, and control circuitry coupled to the graphical user interface. The graphical user interface may display at least one input that may be used by a caregiver to chart data into an electronic medical record (EMR) of a patient supported by the patient support structure.
- In some embodiments, the control circuitry may require verification of the caregiver's identity prior to sending data to the EMR system for charting in the patient's EMR. In connection with requiring verification of the caregiver's identity, the control circuitry may display a screen on the graphical display screen that may require the caregiver to enter a personal identification number (PIN) in response to the at least one input being used. Entry of the PIN by the caregiver may provide the verification required by the control circuitry prior to sending data to the EMR system.
- Alternatively or additionally, a card reader may be coupled to the control circuitry and the control circuitry may require the caregiver to engage the card reader with an identification (ID) card in response to the at least one input being used. For example, a caregiver may engage the card reader by inserting the ID card in a slot or swiping the ID card through a slot. In any event, engaging the card reader with the ID card by the caregiver may provide the verification required by the control circuitry prior to sending data to the EMR system. The ID card may be of the type having a magnetic strip and the card reader may be a magnetic card reader, for example.
- Further alternatively or additionally, a wireless tag reader may be coupled to the control circuitry. The control circuitry may determine whether a wireless tag assigned to the caregiver is in communication with the wireless tag reader in response to the at least one input being used. Thus, communication between the wireless tag and the wireless tag reader may provide the verification required by the control circuitry prior to sending data to the EMR system. Also contemplated by this disclosure as alternative is the use of a biometric sensor that is coupled to the control circuitry and that receives an input that provides the verification required by the control circuitry prior to sending data to the EMR system. In such embodiments, the biometric sensor may comprise one or more fingerprint readers or retinal scanners that are used to identify the caregiver by reading a caregiver's fingerprint (e.g., a thumb print) or by scanning a caregiver's retina.
- In some embodiments, the graphical user interface may display a bed status charting icon that may be selectable to display current bed status data that the caregiver may have the option of charting to the patient's EMR. Selection of the bed status charting icon may result in at least one of the following bed status data being displayed on the graphical user interface: an angle of a head section of the patient support structure, whether or not caster brakes of the patient support structure are set, whether or not an upper frame of the patient support structure is in a low position relative to a base of the patient support structure, whether a patient position monitoring system of the hospital bed is armed, and whether a head of bed monitoring system of the hospital bed is armed. The graphical user interface may display a chart button that may be touched to send the current bed status data to the patient's EMR. Alternatively or additionally, the graphical user interface may display a chart button that, when touched, may result in the graphical user interface displaying a confirmation screen which the caregiver may use to confirm that the current bed status data is to be charted to the patient's EMR. The graphical user interface may display a history button that may be touched to access a history of bed status data that has been charted to the patient's EMR previously.
- In some embodiments, the graphical user interface may display a vital signs charting icon that may be selectable to display a patient information screen that the caregiver may use to enter the patient's vital signs data for subsequent charting to the patient's EMR. The patient information screen may include fields for entering at least one of the following patient's vital signs data: heart rate, respiration rate, blood pressure, pulse oximetry, and temperature. The graphical user interface may display a chart button that may be touched to send the patient's vital signs data to the patient's EMR. Alternatively or additionally, the graphical user interface may display a chart button that, when touched, may result in the graphical user interface displaying a confirmation screen which the caregiver may use to confirm that the patient's vital signs data is to be charted to the patient's EMR. The graphical user interface may display a history button that is touched to access a history of the patient's vital signs data that has been charted to the patient's EMR previously.
- In some embodiments, the graphical user interface may display a weigh patient button that may be touched to command the control circuitry to weigh the patient supported on the patient support structure and to display a charting icon that the caregiver has the option of touching to initiate the charting of the patient's weight to the patient's EMR. A history button may be provided on the graphical display screen that may be selected to access a history of the patient's weight that has been charted to the patient's EMR previously.
- In some embodiments, the graphical user interface may display a patient activity icon that may be selectable to display an activity screen that may have a menu of patient activities that the caregiver has the option of selecting for charting to the patient's EMR. The menu of patient activities may include, for example, at least one of the following activities: whether the patient is lying on their back, whether the patient is light on their right side, whether the patient is lying on their left side, whether the patient has moved out of the hospital bed and is sitting on a chair, and whether the patient support structure has been moved to a chair position to support the patient in a sitting position. The graphical user interface may display a chart button that may be touched to send patient activities data to the patient's EMR. Alternatively or additionally, the graphical user interface may display a chart button that, when touched, may result in the graphical user interface displaying a confirmation screen which the caregiver may use to confirm that patient activities data is to be charted to the patient's EMR. The graphical user interface may display a history button that may be touched to access a history of the patient activities data that has been charted to the patient's EMR previously.
- In some embodiments, the graphical user interface may be used to display contraindications for a patient. For example, the graphical user interface may display at least one of the following: a list of a patient's drug allergies, a list of a patient's food allergies, a contraindication relating to a needle stick, and a contraindication relating to patient egress.
- Alternatively or additionally, the graphical user interface may be used to display information regarding a patient's intakes and outputs. The information regarding a patient's intakes may include, for example, at least one of the following: a percent of the amount of food eaten by a patient during a meal or snack, a volume of liquid consumed by a patient, an amount of eating or drinking assistance provided by a caregiver to a patient, and a time at which a patient ate or drank. The information regarding a patient's outputs may include at least one of the following: an amount of urine output by a patient, an amount of stool output by a patient, an amount of emesis output by a patient, and a time at which a patient output occurred.
- In some embodiments, the graphical user interface is used to display a rounding checklist which may have, for example, a list of tasks or functions to be performed by a caregiver. The list of tasks or functions may include one or more of the following: putting siderails up, setting brakes, putting an upper frame of the hospital bed in its lowest position, raising a head section of the hospital bed to a position above 30° of elevation, making sure a pathway to a bathroom is clear, making sure a night light is on, arming a bed exit system, assessing a pain level of a patient, making sure entertainment or nurse call controls are with reach of a patient, checking a patient's vital signs, checking whether IV pump bag or drainage receptacle needs to be replaced or emptied, turning a patient, making sure no trip hazards are present in a room, checking or changing bandages, checking to see if a patient needs drinking water, and checking to see if a patient needs to go to a bathroom.
- In some embodiments, the graphical user interface is used to display a list of procedures which, in turn, each may include a list of steps of the associated procedure. In some contemplated embodiments, the graphical user interface is used to link to video clips which demonstrate on the graphical user interface at least a portion of a procedure. For example, a video clip of each step of a procedure may be shown on the graphical user interface.
- According to this disclosure, the graphical user interface may be used to show information about network connectivity and/or information about a patient that is likely to be associated with the hospital bed. In such embodiments, a button or icon may be provided on the graphical user interface for selection by a caregiver to accept association of the patient with the hospital bed.
- Additional features, which alone or in combination with any other feature(s), such as those listed above and those listed in the claims, may comprise patentable subject matter and will become apparent to those skilled in the art upon consideration of the following detailed description of various embodiments exemplifying the best mode of carrying out the embodiments as presently perceived.
- The detailed description particularly refers to the accompanying figures in which:
-
FIG. 1 is a perspective view of a hospital bed having a graphical user interface or display screen coupled to a siderail of the hospital bed; -
FIG. 2 is a block diagram showing electrical circuitry of the hospital bed in communication with a remote computer of an EMR system; -
FIG. 3 is an example of a Main Menu screen that appears on the graphical user interface as a default screen; -
FIG. 4 is a screen shot of a Log In screen that appears on the graphical user interface in response to a user touching a Charting tab so that the user can verify their identity as being a person authorized to chart data to the EMR system; -
FIG. 5 is an example of a Charting Home screen that appears on the graphical user interface after the user has successfully verified their identity using the Log In screen, the Log In screen having information regarding the patient, the doctor and nurse assigned to the patient, the bed serial number of the patient's bed, and the patient's room assignment, and the Log In screen having Bed Status, Patient Info, and Activity icons on the right hand side of the screen shot; -
FIG. 6 is a first example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched on the Charting Home screen and, in the first example, an angle of a head section of the patient's bed is above a threshold angle and an upper frame of the bed is in a low position relative to a base of the bed; -
FIG. 7 is a second example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the second example, the angle of the head section of the patient's bed is below the threshold angle such that an angle alert icon is color coded yellow to indicate the alert condition and the upper frame of the bed is not in the low position relative to a base of the bed such that a low icon is color coded yellow to indicate the alert condition; -
FIG. 8 is a third example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the third example, a patient position monitoring (PPM) system of the bed is armed in an Exiting mode as indicated by an Exiting mode icon appearing on the left side of the screen; -
FIG. 9 is a fourth example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the fourth example, the PPM system of the bed is armed in an Out-of-Bed mode as indicated by an Out-of-Bed mode icon appearing on the left side of the screen; -
FIG. 10 is a fifth example of a Bed Status screen that appears on the graphical user interface in response to the Bed Status icon being touched and, in the fifth example, the PPM system of the bed is armed in a Patient Position mode as indicated by a Patient Position mode icon appearing on the left side of the screen; -
FIG. 11 is a Charting Confirmation pop up window that appears on the graphical user interface in response to a Chart button or field being touched on the Bed Status screen; -
FIG. 12 is an example of a Bed Status History screen that appears on the graphical user interface in response to a Yes button or field being selected on the Charting Confirmation pop up window and the Bed Status History screen having left and right scroll arrows that are selected to scroll through Bed Status data that has been charted to the EMR system for the particular patient; -
FIG. 13 is a Patient Info screen that appears on the graphical user interface in response to the Patient Info icon being touched on the Charting Home screen, the Patient Info screen having a number of question marks that are selectable for subsequent manual entry of patient information regarding heart rate, blood pressure, temperature, pulse oximitry and respiration rate; -
FIG. 14 is an example of the Patient Info screen after the heart rate question mark has been touched, the question mark being replaced with either a default heart rate or the last heart rate stored in the EMR system or in circuitry of the hospital bed and OK, plus and minus buttons or fields being displayed for manually changing the heart rate information; -
FIG. 15 is an example of the Patient Info screen in which the OK button is touched or pressed; -
FIG. 16 is an example of the Patient Info screen after the OK button is released, a date stamp and time stamp being shown on the Patient Info screen adjacent the heart rate information in response to the OK field being pressed and released; -
FIG. 17 is an example of the Patient Info screen in which the plus button is touched or pressed; -
FIG. 18 is an example of the Patient Info screen after the plus button is released, the heart rate information being increased by one beat per minute in response to the plus field being pressed and released; -
FIG. 19 is an example of the Patient Info screen after patient information has been manually entered into all of the available fields once occupied by the question marks ofFIG. 13 ; -
FIG. 20 is an example of a Patient Info History screen that appears on the graphical user interface after a Chart button, shown inFIG. 19 , has been pressed and after pressing the yes button of a Charting Confirmation pop up window that is identical to the one shown inFIG. 11 , the Patient Info History screen having left and right scroll arrows that are selected to scroll through patient data that has been charted to the EMR system for the particular patient; -
FIG. 21 is an example of a Patient Info History Graph screen that appears on the graphical user interface after a Graph button is touched on the Patient Info History screen, the Patient Info History Graph screen graphically representing the patient data stored in the EMR system at different times; -
FIG. 22 is an example of an Activity screen that appears on the graphical user interface in response to the Activity icon being touched on the Charting Home screen and the Activity screen having an Add Entry button; -
FIG. 23 is an example of an Activity Add Entry screen that appears on the graphical user interface in response to the Add Entry button being touched, the Activity Add Entry screen having a menu of activities including On Back, Right Side, Left Side, Chair in Room, and Chair Mode Bed fields or buttons; -
FIG. 24 is an example of an Activity On Back screen that appears on the graphical user interface in response to the On Back field of the Activity Add Entry screen being touched, the Activity On Back screen having a field containing the text “Patient turned on back” and an “x” icon; -
FIG. 25 is an example of an Activity Remove Entry screen that appears on the graphical user interface in response to the “x” icon being touched on the Activity On Back screen, the Activity Remove Entry screen having Yes and No fields or buttons that are selected depending upon whether or not the activity is to be removed; -
FIG. 26 is an example of an Activity View History screen that appears on the graphical user interface after a Chart button has been touched on the Activity On Back screen ofFIG. 24 , after the Yes button has been touched on the resulting Charting Confirmation pop up window, and after a View History button or field has been touched on the Activity screen ofFIG. 22 ; -
FIG. 27 is an example of a Scale screen that appears on the graphical user interface in response to the user touching a Scale tab; -
FIG. 28 is a Scale Let Go screen that appears on the graphical user interface for a threshold amount of time after the user touches a Weigh Patient button or field on the Scale screen ofFIG. 27 ; -
FIG. 29 is an example of a Scale Weighing screen that appears on the graphical user interface while a scale system of the hospital bed weighs the patient; -
FIG. 30 is an example of a Scale Accept screen that appears on the graphical user interface after the patient has been weighed, the patient's weight being displayed on the Scale Accept screen; -
FIG. 31 is an example of a Scale Yellow screen that appears on the graphical user interface after an Accept button of the Scale Accept screen ofFIG. 30 is touched if an EMR Autosend feature of the hospital bed is enabled and that appears on the graphical user interface after the Accept button is pressed and after the Yes button has been touched on the resulting Charting Confirmation pop up window which appears if the EMR Autosend feature is disabled, the Scale Yellow screen having a number of fields highlighted yellow to indicate the information that has been charted to the patient's EMR; -
FIG. 32 is an example of a Scale Final screen that appears on the graphical user interface after a threshold amount of time during which the yellow highlighting of the Scale Yellow screen fades; -
FIG. 33 is a Tools Autosend Disabled screen that appears on the graphical user interface in response to a Tools tab being touched if the Autosend feature of the hospital bed is disabled; -
FIG. 34 is a Tools Autosend Switch to Enabled screen that appears on the graphical user interface in response to a Change button or field associated with the Autosend feature being touched on the Tools Autosend Disabled screen ofFIG. 33 , a Disabled field changing to an Enabled field and being highlighted yellow after the Change button of the Tools Autosend Disabled screen ofFIG. 33 is touched; -
FIG. 35 is a Tools Autosend Enabled screen that appears on the graphical user interface after a threshold amount of time during which the yellow highlighting of the Enabled field fades; -
FIG. 36 is a Tools Autosend Switch to Disabled screen that appears on the graphical user interface in response to the Change button or field associated with the Autosend feature being touched on the Tools Autosend Enabled screen ofFIG. 35 , the Enabled field changing back to the Disabled field and being highlighted yellow after the Change button of the Tools Autosend Enabled screen ofFIG. 35 is touched; -
FIG. 37 is a Surface screen that appears on the graphical user interface in response to a Surface tab being selected, the Surface screen having user inputs that are touched to control various functions of a mattress of the hospital bed; -
FIG. 38 is a Chart Data to EMR screen that appears on the graphical user interface in response to any of the user inputs of the Surface screen being touched; -
FIG. 39 is a first Turn Patient Right screen that appears on the graphical user interface in response to a PIN being entered and the OK button being touched on the Chart Data to EMR screen after a Turn Right button has been touched on the Surface screen, the first Turn Patient Right screen having a line of text confirming that turn data has been sent to the EMR for charting; -
FIG. 40 is a second Turn Patient Right screen that appears on the graphical user interface in response to a Cancel button being touched on the Chart Data to EMR screen after the Turn Right button has been touched on the Surface screen; -
FIG. 41 is a Patient Contraindications screen that appears on the graphical user interface to show a list of a patient's drug and food allergies, to show that the patient is contraindicated for needle sticks in the left arm, and to show other contraindications for the patient; -
FIG. 42 is a Charting Intake/Output screen showing an Intakes table that appears on the graphical user interface to show information about the food and beverages the patient has consumed at various times and to show an Outputs table having information about the patient's excretions; -
FIG. 43 is a Miscellaneous Functions screen showing icons or buttons that are selected to navigate to the screens ofFIGS. 44-48 ; -
FIG. 44 is a Rounding Checklist screen that appears on the graphical user interface in response to selection of a Rounding Checklist icon of the Miscellaneous Functions screen, the Rounding Checklist screen having a list of tasks or functions that a caregiver should perform in connection with an associated patient; -
FIG. 45 is a Procedures screen that appears on the graphical user interface in response to selection of a Procedures icon on the Miscellaneous Functions screen, the Procedures screen having a number of Procedures tabs that are selectable to view a list of steps of a procedure and a set of Video Links buttons or icons that are selectable to view a video of an associated step of a procedure; -
FIG. 46 is a Services screen that appears on the graphical user interface in response to selection of a Services icon on the Miscellaneous Functions screen, the Services screen having a set of Service buttons or icons associated with other services available in the healthcare setting; -
FIG. 47 is a Chart screen that appears on the graphical user interface in response to selection of an EMR Dashboard icon on the Miscellaneous Functions screen, the Chart screen having a set of Chart buttons or icons associated that are selectable to view various data sets available in a patient's electronic medical record; and -
FIG. 48 is a Network/Patient Association screen that appears on the graphical user interface in response to selection of a Network/Patient Association icon on the Miscellaneous function screen, the Network/Patient Association screen having a first block of text providing information about network connectivity and a second block of text providing information about a patient to be associated with the corresponding bed. - A patient support apparatus, such as
illustrative hospital bed 10, includes a patient support structure such as aframe 20 that supports a surface ormattress 22 as shown inFIG. 1 . As compared to prior art beds,bed 10 includes electronic medical record (EMR) charting capability that permits information or data to be charted into a patient's EMR via commands entered onbed 10 without the need for subsequent confirmatory actions by personnel at separate or remote computers. The screens shown inFIGS. 3-40 relate to the entry of data frombed 10 into a patient's EMR.FIGS. 1 and 2 show some details of onepossible bed 10 having EMR charting capability. However, this disclosure is applicable to other types of patient support apparatuses, including other types of beds, surgical tables, examination tables, stretchers, and the like. - Referring now to
FIG. 1 ,bed 10 has aframe 20 which includes abase 28, anupper frame assembly 30 and alift system 32 couplingupper frame assembly 30 tobase 28.Lift system 32 is operable to raise, lower, and tiltupper frame assembly 30 relative tobase 28.Bed 10 has ahead end 24 and afoot end 26.Hospital bed 10 further includes afootboard 45 at thefoot end 26 and aheadboard 46 at thehead end 24.Illustrative bed 10 includes a pair of push handles 47 coupled to anupstanding portion 27 ofbase 28 at thehead end 24 ofbed 10.Headboard 46 is coupled toupstanding portion 27 of base as well.Foot board 45 is coupled toupper frame assembly 30.Base 28 includes wheels orcasters 29 that roll along floor (not shown) asbed 10 is moved from one location to another. A set offoot pedals 31 are coupled tobase 31 and are used to brake andrelease casters 29. -
Illustrative hospital bed 10 has four siderail assemblies coupled toupper frame assembly 30 as shown inFIG. 1 . The four siderail assemblies include a pair of head siderail assemblies 48 (sometimes referred to as head rails) and a pair of foot siderail assembies 50 (sometimes referred to as foot rails). Each of thesiderail assemblies FIG. 1 , and a lowered position (not shown).Siderail assemblies siderails siderail barrier panel 54 and alinkage 56. Eachlinkage 56 is coupled to theupper frame assembly 30 and is configured to guide thebarrier panel 54 during movement ofsiderails Barrier panel 54 is maintained by thelinkage 56 in a substantially vertical orientation during movement ofsiderails -
Upper frame assembly 30 includes alift frame 34, aweigh frame 36 supported with respect to liftframe 34, and apatient support deck 38.Patient support deck 38 is carried byweigh frame 36 and engages a bottom surface ofmattress 22.Patient support deck 38 includes ahead section 40, aseat section 42, athigh section 43 and afoot section 44 in the illustrative example as shown inFIG. 1 and as shown diagrammatically inFIG. 2 .Sections frame 36. For example,head section 40 pivotably raises and lowers relative toseat section 42 whereasfoot section 44 pivotably raises and lowers relative tothigh section 43. Additionally,thigh section 43 articulates relative toseat section 42. Also, in some embodiments,foot section 44 is extendable and retractable to change the overall length offoot section 44 and therefore, to change the overall length ofdeck 38. For example,foot section 44 includes amain portion 45 and anextension 47 in some embodiments as shown diagrammatically inFIG. 2 . - In the illustrative embodiment,
seat section 42 is fixed in position with respect to weighframe 36 aspatient support deck 38 moves between its various patient supporting positions including a horizontal position, shown inFIG. 1 , to support the patient in a supine position, for example, and a chair position (not shown) to support the patient in a sitting up position. In other embodiments,seat section 42 also moves relative to weighframe 36, such as by pivoting and/or translating. Of course, in those embodiments in whichseat section 42 translates alongupper frame 42, the thigh andfoot sections seat section 42. Asbed 10 moves from the bed position to the chair position,foot section 44 lowers relative tothigh section 43 and shortens in length due to retraction of theextension 47 relative tomain portion 45. Asbed 10 moves from the chair position to the bed position,foot section 44 raises relative tothigh section 43 and increases in length due to extension of the extension relative tomain portion 45. Thus, in the chair position,head section 40 extends upwardly fromweigh frame 36 and foot section extends downwardly fromthigh section 43. - As shown diagrammatically in
FIG. 2 ,bed 10 includes a head motor oractuator 90 coupled tohead section 40, a knee motor oractuator 92 coupled tothigh section 43, a foot motor oractuator 94 coupled tofoot section 44, and a foot extension motor oractuator 96 coupled tofoot extension 47.Motors seat section 42 translates alongupper frame 30 as mentioned above, a seat motor or actuator (not shown) is also provided.Head motor 90 is operable to raise andlower head section 40,knee motor 92 is operable to articulatethigh section 43 relative toseat section 42,foot motor 94 is operable to raise andlower foot section 44 relative tothigh section 43, andfoot extension motor 96 is operable to extend and retractextension 47 offoot section 44 relative tomain portion 44 offoot section 44. - In some embodiments,
bed 10 includes apneumatic system 72 that controls inflation and deflation of various air bladders or cells (some of which are shown diagrammatically as icons inFIGS. 37 , 39 and 40) ofmattress 22. Thepneumatic system 72 is represented inFIG. 2 as a single block but thatblock 72 is intended to represent one or more air sources (e.g., a fan, a blower, a compressor) and associated valves, manifolds, air passages, air lines or tubes, pressure sensors, and the like, as well as the associated electric circuitry, that are typically included in a pneumatic system for inflating and deflating air bladders of mattresses. - As also shown diagrammatically in
FIG. 2 ,lift system 32 ofbed 10 includes one or more elevation system motors oractuators 70, which in some embodiments, comprise linear actuators with electric motors. Thus, actuators 70 are sometimes referred to herein asmotors 70. Alternative actuators or motors contemplated by this disclosure include hydraulic cylinders and pneumatic cylinders, for example. Themotors 70 oflift system 32 are operable to raise, lower, and tiltupper frame assembly 30 relative tobase 28. In the illustrative embodiment, one ofmotors 70 is coupled to, and acts upon, a set of headend lift arms 78 and another ofmotors 70 is coupled to, and acts upon, a set of footend lift arms 80 to accomplish the raising, lowering and tilting functions ofupper frame 30 relative tobase 28. Guide links 81 are coupled tobase 28 and to liftarms 80 in the illustrative example as shown inFIG. 1 . Lift system ofbed 10 is substantially similar to the lift system of the VERSACARE® bed available from Hill-Rom Company, Inc. Other aspects ofbed 10 are also substantially similar to the VERSACARE® bed and are described in more detail in U.S. Pat. Nos. 6,658,680; 6,611,979; 6,691,346; 6,957,461; and 7,296,312, each of which is hereby expressly incorporated by reference herein. - In the illustrative example,
bed 10 has fourfoot pedals base 28 as shown inFIG. 1 .Foot pedal 84 a is used to raiseupper frame assembly 30 relative tobase 28,foot pedal 84 b is used tolower frame assembly 30 relative tobase 28,foot pedal 84 c is used to raisehead section 40 relative to frame 36, andfoot pedal 84 d is used tolower head section 40 relative to frame 36. In other embodiments, foot pedals 84 a-d are omitted. - Each of
siderails 48 includes a firstuser control panel 66 coupled to the outward side of the associatedbarrier panel 54 and each of siderails 50 include a seconduser control panel 67 coupled to the outward side of the associatedbarrier panel 54.Controls panels bed 10. For example,control panel 66 includes buttons that are used to operatehead motor 90 to raise and lower thehead section 40, buttons that are used to operate knee motor to raise and lower the thigh section, and buttons that are used to operatemotors 70 to raise, lower, and tiltupper frame assembly 30 relative tobase 28. In the illustrative embodiment,control panel 67 includes buttons that are used to operatemotor 94 to raise andlower foot section 44 and buttons that are used to operatemotor 96 to extend and retractfoot extension 47 relative tomain portion 45. In some embodiments, the buttons ofcontrol panels - As shown diagrammatically in
FIG. 2 ,bed 10 includescontrol circuitry 98 that is electrically coupled tomotors motors 70 oflift system 32.Control circuitry 98 is represented diagrammatically as asingle block 98 inFIG. 6 , butcontrol circuitry 98 in some embodiments comprises various circuit boards, electronics modules, and the like that are electrically and communicatively interconnected.Control circuitry 98 includes one ormore microprocessors 172 or microcontrollers that execute software to perform the various control functions and algorithms described herein. Thus,circuitry 98 also includesmemory 174 for storing software, variables, calculated values, and the like as is well known in the art. - As also shown diagrammatically in
FIG. 2 , a user inputs block represents the various user inputs such as buttons ofcontrol panels circuitry 98 ofbed 10 to command the operation of thevarious motors bed 10, as well as commanding the operation of other functions ofbed 10.Bed 10 includes at least one graphical user input ordisplay screen 142 coupled to arespective siderail 48 as shown inFIG. 1 .Display screen 142 is coupled to controlcircuitry 142 as shown diagrammatically inFIG. 2 . In some embodiments, twographical user interfaces 142 are provided and are coupled torespective siderails 48. Alternatively or additionally, one or more graphical user interfaces are coupled to siderails 50 and/or to one or both of theheadboard 46 andfootboard 45.Control circuitry 98 receives user input commands fromgraphical display screen 142 as will be described in further detail below with regard toFIGS. 3-40 . - According to this disclosure,
control circuitry 98 ofbed 10 communicates with aremote computer device 176 viacommunication infrastructure 178 such as an Ethernet of a healthcare facility in whichbed 10 is located and viacommunications links FIG. 2 .Computer device 176 is sometimes simply referred to as a “computer” herein.Remote computer 176 is part of an electronic medical records (EMR) system according to this disclosure. However, it is within the scope of this disclosure forcircuitry 98 ofbed 10 to communicate with other computers such as those included as part of a nurse call system, a physician ordering system, an admission/discharge/transfer (ADT) system, or some other system used in a healthcare facility in other embodiments.Ethernet 178 inFIG. 2 is illustrated diagrammatically and is intended to represent all of the hardware and software that comprises a network of a healthcare facility. - In the illustrative embodiment,
bed 10 has a communication interface orport 180 which provides bidirectional communication vialink 179 withinfrastructure 178 which, in turn, communicates bidirectionally withcomputer 176 vialink 177.Link 179 is a wired communication link in some embodiments and is a wireless communications link in other embodiments. Thus, communications link 179, in some embodiments, comprises a cable that connectsbed 10 to a wall mounted jack that is included as part of a bed interface unit (BIU) or a network interface unit (NIU) of the type shown and described in U.S. Pat. Nos. 7,538,659 and 7,319,386 and in U.S. Patent Application Publication Nos. 2009/0217080 A1, 2009/0212925 A1 and 2009/0212926 A1, each of which are hereby expressly incorporated by reference herein. In other embodiments, communications link 179 comprises wireless signals sent betweenbed 10 and a wireless interface unit of the type shown and described in U.S. Patent Application Publication No. 2007/0210917 A1 which is hereby expressly incorporated by reference herein. Communications link 177 comprises one or more wired links and/or wireless links as well according to this disclosure. - As mentioned above,
bed 10 includes EMR charting capability so that information can be charted into a patient's EMR via commands entered onbed 10 without the need for subsequent confirmatory actions by personnel at remote computers. In some embodiments contemplated by this disclosure, subsequent confirmatory actions may be required atEMR system computer 176 prior to entry of data into a patient's EMR. However, systems in which information is charted or stored in a patient's EMR via caregiver actions atbed 10 without the need for subsequent actions atremote computer 176 by the same or a different caregiver is seen as being more efficient. - In the description of
FIGS. 3-40 that follows, screens that appear ongraphical user interface 142 are discussed. The images and functions associated with each of these screens are controlled by the software that is stored in memory, such asmemory 174 shown diagrammatically inFIG. 2 , and executed by a microprocessor or microcontroller, such asmicroprocessor 172 shown diagrammatically inFIG. 2 . In some implementations, multiple microprocessors or microcontrollers and multiple memory devices are used in connection with displaying the various screens ongraphical user interface 142 and carrying out the various functions associated with those screens. For example, in some embodiments,graphical user interface 142 includes its own display driver circuitry that includes its own microprocessor or microcontroller and its own memory. Thus, software is stored in multiple memory locations in some embodiments and is executed by associated microprocessors or microcontrollers to perform the overall functionality discussed below. - Referring now to
FIG. 3 , an example of aMain Menu screen 200 that appears on thegraphical user interface 142 as a default screen is shown.Screen 200 includes aMain Menu tab 202 which is associated withscreen 200.Screen 200 also has aScale tab 204, anAlarms tab 206, aSurface tab 208, aCharting tab 210, aTools tab 212, and aHelp tab 214.Tabs tabs tab 202 if the user wishes to return to theMain Menu screen 200. In addition to the details provided herein, further details ofgraphical user interface 142 and the screens that appear thereon can be found in U.S. Patent Application Publication No. 2008/0235872 A1 which is hereby expressly incorporated by reference herein. -
Main menu screen 200 includes an Active Alarms field 216 in which any alarms associated withbed 10 are listed. In the illustrative example, there are no alarm conditions occurring with respect tobed 10 and so field 216 is empty. ABed Info field 218 appears onscreen 200 beneathfield 216 and displays information such as the head angle of bed 10 (i.e., the angle at whichhead section 40 is raised with respect to frame 36 or with respect to horizontal depending upon the type of angle sensor used).Bed 10 includes anangle sensor 220 which is coupled tohead section 40 and to controlcircuitry 98 as shown diagrammatically inFIG. 2 . Examples of suitable angle sensors include, for example, potentiometers, inclinometers, ball switches, and accelerometers, just to name a few. In the illustrative example ofFIG. 3 , the head angle is 0°. - In the
Bed Info field 218 ofscreen 200 there is also a line of text that indicates that nurse call alerting is turned off. That is, for theparticular bed 10, no bed conditions are being monitored by a remote nurse call system for alerting caregivers of any alarm conditions. In the given example, the line of text states “NaviCare OFF.” The term NaviCare infield 218 refers to the NAVICARE® Nurse Call (NNC) system available from Hill-Rom Company, Inc. In some embodiments, the ability ofbed 10 to chart information to theEMR system 176 is independent of whetherbed 10 is connected to a nurse call system and is independent of whether, if connected, the alerting functions ofbed 10 to the nurse call system are turned on or off. In other embodiments,bed 10 may communicate with theEMR system 176 via a nurse call system, ADT system, or other system and therefore, connectivity to the intermediate system or systems is required in those particular embodiments. -
Screen 200 also has aSurface Status field 222 that conveys information about the status ofmattress 22. In the illustrative example,field 222 indicates that a rotation therapy feature ofmattress 22 is off and that a percussion and vibration (P&V) feature ofmattress 22 is off. Screen further has aSurface mode field 224 that conveys information about the mode in whichmattress 22 is operating. In the illustrative example, thesurface 22 is operating in the normal mode. Other modes include, for example, a pressure redistribution mode, a max-inflate mode, a right turn mode, a left turn mode, and a seat deflate mode.Screen 200 has abed icon 225 that visually conveys further information aboutbed 10 in some embodiments. For example, there are four siderails oficon 225 are color coded red to indicate that the respective siderail has been lowered and indicia appears on a mattress portion oficon 225 to indicate different types of surface therapy or mode information. - If a caregiver selects or touches
Charting tab 210, a Log In screen or pop-upwindow 226, an example of which appears inFIG. 4 , appears on thegraphical user interface 142.Screen 226 has user inputs and fields that are used by the caregiver to verify their identity as being a person authorized to chart data to theEMR system 176. For example, in the illustrative embodiment,screen 226 includes afield 228 with the text “Please enter PIN” to prompt the caregiver to use anumeric keyboard 232 having buttons corresponding to integers 0-9 to type a personal identification number (PIN). As the caregiver useskeyboard 228 to type the associated PIN, asterisks appear in aPIN field 230. Once the entire correct PIN is entered intofield 230, the caregiver touches or selects an OK button oricon 234 and aCharting Home screen 240, an example of which is shown inFIG. 5 , appears ongraphical user interface 142. If a user selects a Cancelbutton 236 onscreen 226, thenMain Menu screen 200 is displayed ongraphical user interface 142.Keyboard 232 includes aC button 238 that is pressed to clear the PIN being entered intofield 230. Thus,button 238 is used if the caregiver makes an inadvertent error while typing his or her PIN intofield 230. - While the illustrative embodiment uses a PIN that is typed on Log In
screen 226 to verify that a caregiver is authorized to chart data toEMR system 176, other possibilities for verifying the caregiver's identity are within the scope of this disclosure. For example,bed 10 includes a token reader that reads a token in some embodiments. One type of token is a card with a magnetic strip and one type of token reader is a magnetic card reader which is engaged by the card, such as by swiping the card through a slot or by inserting the card into a slot or opening. Another type of token is a radio frequency identification (RFID) tag and another type of token reader is an RFID tag reader. The RFID tag and associated RFID tag reader include transmitters, receivers, and/or transceivers that are appropriately arranged for communicating with each other. To give one example,bed 10 has an RFID transceiver that sends out a wireless signal that, if received by an RFID tag in proximity to the transceiver, responds with a wireless message including a unique code associated with the RFID tag. The unique code of the RFID tag is associated with an assigned caregiver and is used to verify the identity of the caregiver in proximity to thebed 10. - Another alternative to the use of a PIN typed on Log In
screen 226 for caregiver identification is the use of a biometric sensor that is coupled to thecontrol circuitry 98 and that receives an input that provides the verification required by thecontrol circuitry 98 prior to sending data to theEMR system 176. In such embodiments, the biometric sensor may comprise one or more fingerprint readers or retinal scanners that are used to identify the caregiver by reading a caregiver's fingerprint (e.g., a thumb print) or by scanning a caregiver's retina. The biometric sensor is mounted on one or bothsiderails 48 adjacent the associateddisplay screen 142 in some embodiments, but the biometric sensor may just as well be mounted on some other portion ofbed 10 such as thehead board 46,foot board 45, one or both ofsiderails 50, or on an arm, pole, or pod that extends upwardly fromupper frame 38, for example. - Referring to
FIG. 5 ,Charting Home screen 240, which appears ongraphical user interface 142 after the user has successfully verified their identity using the Log Inscreen 226 as discussed above, has adynamic field 242 conveying information regarding the patient, the doctor and nurse assigned to the patient, the bed serial number of the patient's bed, and the patient's room assignment. In the illustrative example, the patient is Jane Wilmington, the patient's doctor is Dr. August, the primary caregiver currently assigned to the patient is Rob Butler, RN, the bed serial number is 100012034, and the patient's room assignment isroom 101A. The information concerning the patient's name, the room location, the patient's doctor and assigned caregiver are retrieved from remote computer devices, such as those of theEMR system 176 or another system, such as a nurse call system, an ADT system, or the like. In some embodiments, screens are presented ongraphical user interface 142 to enable a caregiver to verify the information infield 242, particularly, to verify the identity of the patient. The patient's name is displayed in a coded format, such as a HIPAA compliant format, in some embodiments. - Still referring to
FIG. 5 ,Charting Home screen 240 has aBed Status icon 244, aPatient Info icon 246, and anActivity icon 248. In response to the caregiver selectingBed Status icon 244, a Bed Status screen is displayed ongraphical user interface 142. Depending upon the status of various bed features, the Bed Status screen will convey different types of information. In the present disclosure, five examples of a Bed Status screen 250 a, 250 b, 250 c, 250 d, 250 e are provided inFIGS. 6-10 , respectively. Each Bed Status screen 250 a, 250 b, 250 c, 250 d, 250 e has apartial bed indicia 252 located beneath a line oftext 254 indicating “Current Bed Status” and indicating the room number, “101A” in the illustrative example.Partial bed indicia 252 includes a head anglealarm status bubble 256, a current head angle read outfield 257, a casterbrake status bubble 258, an elevationsystem status bubble 260, and a patient position monitoring (PPM)system status bubble 262. - Referring to
FIG. 6 , the first example of a Bed Status screen 250 a is shown. In the first example, head anglealarm status bubble 256 indicates that a head angle alarm feature ofbed 10 is armed and current head angle read outfield 257 indicates that thehead section 40 ofbed 10 is at 33° which is not below the 30° threshold of the head angle alarm system in the illustrative example. Thus,head section 40 ofbed 10 is raised sufficiently that a head of bed angle alarm condition does not exist in connection with thescreen 250 a example. Also onscreen 250 a, casterbrake status bubble 258 indicates that the caster brakes are set, elevationsystem status bubble 260 indicates thatupper frame assembly 30 is in its lowest position relative tobase 28, and PPMsystem status bubble 262 indicates that the PPM system is turned off. - Referring to
FIG. 7 , the second example of aBed Status screen 250 b is shown. In the second example, head anglealarm status bubble 256 indicates that the head angle alarm feature ofbed 10 is armed and current head angle read outfield 257 indicates that thehead section 40 ofbed 10 is at 27° which is below the 30° threshold of the head angle alarm system in the illustrative example. Thus,head section 40 ofbed 10 is not raised sufficiently which means that a bed angle alarm condition exists in connection with thescreen 250 b example. Because of the head angle alarm condition,bubble 256 is color coded (indicated by cross hatching inFIG. 7 ), such as being colored yellow or red, for example, to visually indicate the alarm condition. Also onscreen 250 a, casterbrake status bubble 258 indicates that the caster brakes are set, elevationsystem status bubble 260 indicates thatupper frame assembly 30 is not in its lowest position relative tobase 28 and so is color coded to indicate the alarm condition, and PPMsystem status bubble 262 indicates that the PPM system is turned off. - Referring to
FIGS. 8-10 , the third, fourth and fifth examples of aBed Status screen system status bubble 262 has a different icon in each ofscreens screen 250 a to indicate a respective mode in which the PPM system ofbed 10 is armed. In the illustrative examples, the PPM system ofbed 10 is armed in an Exiting mode in connection withscreen 250 c as indicated by an Exitingmode icon 264 appearing inbubble 262 inFIG. 8 , the PPM system ofbed 10 is armed in an Out-of-Bed mode in connection withscreen 250 d as indicated by an Out-of-Bed mode icon 266 appearing inbubble 262 inFIG. 9 , and the PPM system ofbed 10 is armed in an Patient Portion mode in connection withscreen 250 e as indicated by a PatientPosition mode icon 268 appearing inbubble 262 inFIG. 10 . -
Bed 10 includes ascale system 270 as shown diagrammatically inFIG. 2 .Scale system 270 includes one or more weight sensors that are indicative of the weight of the patient onbed 10. In some embodiments, the scale system includes four load cells (e.g., load beams with strain gages) thatinterconnect lift frame 34 withweigh frame 36 adjacent the four corners offrame 34. In addition to sensing an amount of weight of the patient, the data from the sensors ofscale system 270 is also used bycontrol circuitry 98 to determine the patient's position relative tomattress 22 and/orupper frame assembly 22. Thus, in the illustrative example, data from the sensors ofweigh scale system 270 is compared to thresholds associated with the Exiting, Out-of-Bed, and Patient Position modes of the PPM system to determine if an alarm condition exists. Examples of scale systems used on hospital beds are shown and described in U.S. Pat. Nos. 7,610,637; 7,253,366; 7,176,391; 6,924,441; 6,680,443; and 5,859,390, each of which is hereby incorporated by reference herein. See particularly U.S. Pat. No. 7,253,366 for a discussion of a load cell based PPM system having Exiting, Out-of-Bed, and Patient Position modes. - The Bed Status screen includes a Chart button or
icon 272, a View History button oricon 274, and a Back button oricon 276 as shown inFIGS. 6-10 . The Bed Status screen also hasbed icon 225 that is substantially similar tobed icon 225 ofscreen 200 and that visually conveys further information aboutbed 10 in some embodiments as also shown inFIGS. 6-10 . In response to selection ofBack button 276 on the Bed Status screen, theCharting Home screen 240 is displayed ongraphical user interface 142 without any of the bed status data on the Bed Status screen being charted or sent to theEMR system 176. In response to selection of theView History button 274 on the Bed Status screen, a BedStatus History screen 286, an example of which is shown inFIG. 12 , appears ongraphical user interface 142.Screen 286 is discussed in further detail below. - In response to selection of
Chart button 272 on the Bed Status screen, a Charting Confirmation pop upwindow 278 appears on thegraphical user interface 142 as shown inFIG. 11 .Window 278 hastext 280 which asks whether the caregiver wants to chart the bed status data appearing inbubbles field 257 to the EMR of the associated patient. A Yes button oricon 282 and a No button oricon 284 are provided inwindow 278. In response to the selection of Nobutton 284 ofwindow 278,Charting Home screen 240 is once again displayed ongraphical user interface 142 and none of the bed status data appearing on the Bed Status screen is charted or sent to theEMR system 176. - In response to the selection of
Yes button 282 ofwindow 278, the bed status data appearing inbubbles field 257 is charted to the EMR of the associated patient and the BedStatus History screen 286 automatically appears on the graphical user interface 143 thereafter as shown, for example, inFIG. 12 . The BedStatus History screen 286 has aleft scroll arrow 288 and aright scroll arrow 290 that are selected to scroll through Bed Status data that has been charted to the EMR system for the particular patient. If theYes button 282 was selected onwindow 278, then screen 286 initially shows the data that has just been charted to theEMR system 176 along with an associated date andtime stamp 292. Asarrows time stamp 292 changes to match the date and time at which the particular data, which appears inbubbles field 257 ofpartial bed indicia 252, was charted. - If
Bed History screen 286 is arrived at in response to pressing theView History button 274 of the Bed Status screen, then screen 286 initially shows the most recent bed status data that has been previously been charted to theEMR system 176 and scrollarrows Screen 286 also has backbutton 276 that, when selected, results in theCharting Home screen 240 shown inFIG. 5 for example, being displayed on thegraphical user interface 142. - In response to the caregiver selecting
Patient Info icon 246 on the Charting Home screen 249, shown inFIG. 5 , aPatient Info screen 294 is displayed ongraphical user interface 142 as shown for example inFIG. 13 .Charting tab 210 changes title from “Charting” to “Patient Info” onscreen 294 and so is indicated asPatient Info tab 210′. A similar title change fortab 210 occurs in some embodiments whenBed status icon 244 is selected onscreen 240. That is, in some embodiments,tab 210 changes title from “Charting” to “Bed Status” in response to selection oftab 244 onscreen 240. -
Screen 294 includes aheart rate field 296, a non-invasive blood pressure (NIBP)field 298, atemperature field 300, a pulse oximetry (SpO2)field 302, and arespiration rate field 304. InFIG. 13 , all offields fields EMR system 176 as will be discussed below. In other embodiments in whichbed 10 has integrated sensors for sensing some or all of the patient data associated withfields circuitry 98 ofbed 10 is in communication with other patient care equipment, either via in-room connections (wired and/or wireless) betweenbed 10 and the other equipment or viacommunication infrastructure 178, then fields 296, 298, 300, 302, 304 are auto-populated with the corresponding patient data received bybed 10 from the other patient care equipment that gathers the patient data initially. - To manually enter patient data into
fields Patient Info screen 294, the caregiver touches theparticular field FIGS. 14-18 , an example is given regarding the various options for manually entering the patient's heart rate data intofield 296. A similar process is followed for entering the corresponding types of data into theother fields fields - If on
Patient Info screen 294, the caregiver selects or touchesheart rate field 296, then field 296 becomes populated with a default value in those instances when no data has been previously charted to theEMR system 176 and becomes populated with the data value most recently charted to theEMR system 176. In some embodiments,bed 10 retrieves the previously charted data from theEMR system 176 and in other embodiments,bed 10 stores the charted data locally, such as inmemory 174, for subsequent retrieval. In the illustrative example, afterfield 296 is touched thenumber 90 appears infield 296 as shown inFIG. 14 to indicate that the previously charted heart rate, in beats per minute, for the associated patient onbed 10 is 90 beats per minute. An OK icon orbutton 306, a plus icon orbutton 308 and a minus icon orbutton 310 also appears onscreen 294 to the right offield 296 in response tofield 296 being touched as also shown inFIG. 14 . - If the patient's heart rate is still 90 beats per minute, then the caregiver presses or touches the
OK icon 306 at which point theOK icon 306 become highlighted, such as by changing color, as indicated by the cross hatching inFIG. 15 , to provide the caregiver with visual feedback thaticon 306 has been successfully pressed and then the caregiver stops pressing ortouching icon 306. After the caregiver releasesicon 306, the highlighting fromicon 306 disappears and a date andtime stamp 312 appears adjacent to field 296 to indicate the date and time that the particular patient data, the heart rate in this instance, was measured. - If the patient's heart rate is no longer 90 beats per minute and the caregiver wishes to change the heart rate data value, the
plus icon 308 or theminus icon 310 are pressed by the caregiver to increase or decrease, respectively, the data value. For example, if the caregiver touches theplus icon 308, theplus icon 308 becomes highlighted, such as by changing color, as indicated by the cross hatching inFIG. 17 , to provide the caregiver with visual feedback thaticon 308 has been successfully pressed and the heart rate is then increased. To increase the heart rate data by additional integers, the caregiver simply continues pressing ortouching icon 308 while the data value increments. Once the data value reaches the desired value, the caregiver stops pressing ortouching icon 308. After the caregiver releasesicon 308, the highlighting fromicon 308 disappears and the associated date andtime stamp 312 appears adjacent to field 296 to indicate the date and time that the particular patient data, the heart rate in this instance, was measured as shown inFIG. 18 . Theminus icon 310 works in a similar fashion to decrement the data value. - The same process is used by the caregiver to enter and change the data values in each of
fields fields FIG. 19 , each offields time stamp 312 adjacent to eachfield fields OK icon 306 or use the plus orminus icons corresponding field corresponding field - In the illustrative example, patient data corresponding to heart rate in beats per minute (HR/Min), blood pressure in millimeters of Mercury (mmHg), temperature in both degrees Fahrenheit and degrees Celsius (° F./° C.), pulse oximetry as a percentage of saturation of peripheral oxygen (SpO2) which corresponds to a percentage saturation of hemoglobin with oxygen, and respiration rate in breaths per minute (Resp/Min) can be entered manually on
Patient Info screen 294. In other embodiments, other types of patient data can be entered manually onscreen 294 in addition to or in lieu of the data discussed above. Invasive blood pressure and patient height are examples of another type of patient data. It should also be noted that use of other units of measure for the entered data is within the scope of this disclosure. - As shown in
FIGS. 13-19 ,Patient Info screen 294 includes a Chart button oricon 314, a View History button oricon 316, and a Back button oricon 318. After one or more offields Chart icon 314 and the Chart data screen orwindow 278 shown inFIG. 11 appears on thegraphical user interface 142. The caregiver then selects theYes icon 282 onscreen 278 to send the patient data shown onscreen 294 to theEMR system 176 for charting in the patient's medical record. If the caregiver does not wish to chart the data to theEMR system 176, then the caregiver selects the Noicon 284 ofscreen 278 to return toscreen 294 without the patient data being sent to theEMR system 176. - If the caregiver selects the
Back button 318 onscreen 294, then ChartingHome screen 240, an example of which is shown inFIG. 5 , appears ongraphical user interface 142. In response to the caregiver selecting theChart icon 314 onscreen 294 and thenYes icon 282 onscreen 278, a PatientInfo History screen 320 appears on thegraphical user interface 142 as shown, for example, inFIG. 20 . PatientInfo History screen 320 has a left scroll arrow 322 andright scroll arrow 324 that are selected to scroll through patient data that has been charted to the EMR system for the particular patient. The left scroll arrow 322 is selected to scroll back in time and theright scroll arrow 324 is used to scroll forward in time. As thescroll arrows 322, 324 are used to retrieve data charted to theEMR system 176 at different times, fields 296, 298, 300, 302, 304 are populated with the charted data and a date andtime stamp 326 is shown in the area betweenarrows 322, 324 to indicate the date and time at which the associated data was charted to theEMR system 176. - Patient
Info History screen 320 includes a Graph button oricon 328 as shown inFIG. 20 . In response to the caregiver selectingGraph button 328, a Patient InfoHistory Graph screen 330, an example of which is shown inFIG. 21 , appears on thegraphical user interface 142. Patient InfoHistory Graph screen 330 includes a graphical representation of the patient data stored in the EMR system at different times. In some embodiments, the caregiver double taps onscreen 330 to return to the PatientInfo History screen 320. In other embodiments, a Close button or Back button is provided. Selection of the Back of Close icon returns the caregiver to the PatientInfo History screen 320 and then Backbutton 318 is used onscreen 320 to return the caregiver to theCharting Home screen 240 as mentioned above. In some embodiments, left and right scroll arrows are provided onscreen 330 so that the caregiver is able to scroll to other portions of the patient info history graph if not all of the graph is able to fit onscreen 330. - In response to the
Activity icon 248 being selected on theCharting Home screen 240, anActivity screen 332 appears on thegraphical user interface 142 as shown, for example inFIG. 22 . WhenActivity screen 332 appears oninterface 142, theCharting tab 210 changes its title from “Charting” to “Activity” and so is indicated asActivity tab 210″.Activity screen 332 has an Add Entry button oricon 334, a Chart button oricon 336, a View History button oricon 338, and a Back button oricon 340. - If the caregiver selects
Add Entry icon 334 onscreen 332, an ActivityAdd Entry screen 342 appears on thegraphical user interface 142 as shown, for example, inFIG. 23 . The ActivityAdd Entry screen 342 has amenu 344 of activities in the form of selectable buttons or icons including OnBack icon 346,Right Side icon 348,Left Side icon 350, Chair inRoom icon 352, and ChairMode Bed icon 354. On Back means that the patient has been turned onto their back, Right Side means that the patient has been turned on their right side, and Left Side means that the patient has been turned on their left side. Chair in Room means that the patient has been moved out ofbed 10 and is sitting in a chair in the patient's room and Chair Mode Bed means that the bed has been moved into a chair position. Thus, in the illustrative example, the activities listed onmenu 344 are mutually exclusive of each other. That is, the patient can only be doing one of those activities at a time. The description below ofFIGS. 24-26 relates to selection of theOn Back icon 346 frommenu 344. However, a similar process is followed and a similar set of screens as those ofFIGS. 24-26 result in response to selection of theother icons menu 344 onscreen 342. - In response to selection of On
Back button 346 onmenu 344 ofscreen 342, an Activity OnBack screen 356 appears on thegraphical user interface 142 as shown, for example, inFIG. 24 . The Activity OnBack screen 356 has afield 358 containing the text “Patient turned on back” and an “x”icon 360. At this point, the caregiver is able to selectChart icon 336 and theChart Confirmation window 278 ofFIG. 11 appears oninterface 142. The caregiver then selectsYes icon 282 to chart the activity data to the patient's EMR in theEMR system 176 or selects the Noicon 284 to return toscreen 356 without charting the activity data. After theYes icon 282 is selected onscreen 278,Activity screen 332 once again appears oninterface 142. - While
viewing screen 356, if the caregiver wishes to remove the activity without charting it to the patient's EMR, the caregiver selects the “x”icon 360 which results in an Activity Remove Entry screen 362 appearing on thegraphical user interface 142 as shown inFIG. 25 . The Activity Remove Entry screen 362 has a Yes icon orbutton 364 and a No icon orbutton 366 along with the text “Are you sure you want to remove this chart entry?” If the caregiver selects the Noicon 366 on screen 362, the caregiver returns to screen 356 ofFIG. 24 . If the caregiver selects theYes icon 364 on screen 362, then activity appearing onscreen 356 is erased and the caregiver is returned toscreen 332 ofFIG. 22 . - If the caregiver selects the
View History icon 338 onscreen 332, for example, an ActivityView History screen 368 appears on thegraphical user interface 142 as shown, for example, inFIG. 26 . In the illustrative example, a line oftext 370 stating “Patient turned on back.—3:11 AM” appears onscreen 368. If additional activities had been charted to theEMR system 176 for the associated patient in the past, then additional lines of text, similar totext 370 would also be shown onscreen 368. If so many activities had been charted for the patient that all of the lines of text could not fit onscreen 368, then Up and Down scroll arrows are provided, in some embodiments, to permit the caregiver to scroll to the other activities entries. - Referring now to
FIG. 27 , if thescale tab 204 is selected, aScale screen 372 appears on thegraphical user interface 142.Screen 372 includes aLast Weight field 374, a Last Weighedfield 376, a Last Zeroedfield 378, anEMR Status field 380, and a WeightHistory Graph field 382. In the illustrative example ofscreen 372, each offields field 382 does not have a weight graph since the patient has not yet been weighed. -
Screen 372 also has a Zero Scale button oricon 384, an Adjust weight button oricon 386, a kg button oricon 388, a Weight History button oricon 390, and a Weigh Patient button oricon 392. TheZero Scale button 384 is used to set the tare weight of thescale system 270. The AdjustWeight button 386 is used to adjust the patient's weight reading up or down using plus and minus keys that appear oninterface 142 afterbutton 386 is selected. Thekg button 388 is used to indicate whether the caregiver wishes to display the patient's weight in kilograms (kg) or pounds (lb). Ifbutton 388 is pressed, thescale system 270 switches to pounds units and the units “lb” appear inbutton 388 to indicate that the weight units are being display in lbs. TheWeight History button 390 is pressed to cause a weight graph to appear infield 382. - If the caregiver selects the
Weigh Patient button 392 onscreen 372, a Scale Let Go screen 394, shown inFIG. 28 , appears on thegraphical user interface 142 for a threshold amount of time, such as three seconds in the illustrative example.Screen 394 has the text “Let go of bed” and “Weighing Patient in 2 seconds.” Thus, in the illustrative embodiment, the text onscreen 394 counts down in one second increments from the three second threshold. After the threshold amount of time, aScale Weighing screen 396 appears on thegraphical user interface 142 as shown inFIG. 29 .Screen 396 is shown oninterface 142 whilescale system 270 ofhospital bed 10 weighs the patient. - After
scale system 270 has weighed the patient, a Scale Acceptscreen 398 appears on thegraphical user interface 142 as shown, for example, inFIG. 30 . Scale Acceptscreen 398 has a NewPatient Weight field 400 in which the measured patient weight is displayed. In the illustrative example, the patient's weight is 96.0 kg.Screen 398 also has a Cancel button oricon 402, a Re-Weigh button oricon 404, and an Accept button oricon 406. Cancelbutton 402 is selected to cancel the weight reading that has just been taken.Re-Weigh button 404 is selected if the caregiver wishes to re-weigh the patient for some reason, such as the bed being bumped or the patient moving at the time during which the previous weight reading was being taken. - The Accept
button 406 is pressed to accept the weight after the patient has been weighed. Depending upon whether an EMR Autosend feature is enabled or disabled, as will be discussed below in connection withFIGS. 31-34 , the selection of Accept 406 either stores the patient weight inmemory 174 ofcontrol circuitry 98 and initiates the charting of the weight reading to the EMR system 176 (if the EMR Autosend feature is enabled) or stores the patient weight inmemory 174 ofcontrol circuitry 98 and does not initiate the charting of the weight reading to the EMR system 176 (if the EMR Autosend feature is disabled). - If the EMR Autosend feature is disabled, then after selection of the Accept
button 406 onscreen 398, a ScaleYellow screen 408 appears on thegraphical user interface 142 as shown, for example, inFIG. 31 . If the EMR Autosend feature is enabled, then after the Acceptbutton 406 is selected and theChart Confirmation window 278 ofFIG. 11 appears on thegraphical user interface 142. Selection of theYes button 282 onwindow 278 results in theScale Yellow screen 408 appearing oninterface 142 and the patient's weight is sent to theEMR system 176 for charting in the patient's EMR as mentioned above.Screen 408 hasfields FIG. 31 , to indicate the new information that is being stored inmemory 174 ofbed 10 and, if the EMR Autosend feature is enabled, is also being charted to the patient's EMR. During a threshold amount of time, such as three seconds in the illustrative example, the yellow highlighting offields Final screen 410 appears on thegraphical user interface 142 as shown, for example inFIG. 32 . - On
screens field 382 shows a graph including the patient's current weight. If the patient had been weighed multiple times, then additional data points would appear on the graph infield 382. In the illustrative example, the text “Sent 08/18/10, 3:52 AM” appears infield 380 to indicate the date and time at which the patient's weight was charted in theEMR system 176. Thus, the EMR Autosend feature is enabled in the illustrative example. If the EMR Autosend feature were disabled, then the text N/A would have remained infield 380 onscreens - Referring now to
FIG. 33 , ifTools tab 212 is selected when the EMR Autosend feature is disabled, a ToolsAutosend Disabled screen 412 appears on thegraphical user interface 142.Screen 412 includes a Patient History bar 414 with a Last Erasedfield 416, a View History icon orbutton 418, and an Erase (New Patient) button oricon 420.Button 420 is selected, in some embodiments, to erase the data stored inmemory 174 ofbed 10 for a previous patient so that only new data associated with a new patient is shown on the various screens discussed herein on thegraphical user interface 142. In other embodiments,memory 174 still stores the data from previous patients, it just is not shown oninterface 142 once a new patient has been assigned tobed 10.Button 418 is selected to view the history information associated with the patient assigned tobed 10. The last erasedfield 416 indicates the date and time at which the patient history data was last erased. -
Screen 412 also includes a Date and Time bar 422 that includes a Date andTime field 424, a Change button oricon 426, and an Erase (New Patient) button oricon 428.Button 428 is selected to erase the date and time information for the previous patient.Field 424 shows the current date and time.Change button 426 is used to change the date and time, for example, if the date and time shown infield 424 is inaccurate. Selection ofchange button 426 results in keys being displayed for changing the date and time. -
Screen 412 further has aLanguage bar 430 that includes aLanguage field 432 and a Change icon orbutton 434. The word “English” appears in theLanguage field 432 in the illustrative example.Button 434 is selected to change the language of the various screens that appear ongraphical user interface 142. Selection ofbutton 434 results in a menu of language options being displayed oninterface 142 and the caregiver can then select the desired language on the menu of language options. -
Screen 412 has anEMR Autosend bar 436 that includes an Enabled/Disabled field 438 and a Change button oricon 440. The word “Disabled” appears infield 438 to indicate that the EMR Autosend feature ofbed 10 is disabled. If the caregiver touchesbutton 440 onscreen 412 ofFIG. 33 ,field 438 becomes highlighted, such as yellow highlighting, as indicated by the cross hatching inFIG. 34 and the word “Disabled” changes to “Enabled” to indicate that the EMR Autosend feature ofbed 10 is enabled. After a threshold period of time, such as three seconds, for example, the highlighting fades and disappears as shown inFIG. 35 . If the EMR Autosend feature is enabled and the caregiver wishes to disabled that feature, the caregiver touchesbutton 440 andfield 438 becomes highlighted, as indicated by the cross hatching inFIG. 36 , and the word “Enabled” changes to “Disabled.” The highlighting offield 438 inFIG. 36 fades and disappears after a threshold amount of time. Thus,button 440 is used to toggle the EMR Autosend feature between being enabled and being disabled andfield 438 visually indicates whether or not the EMR Autosend feature is enabled or disabled. - Referring now to
FIG. 37 , aSurface screen 446 appears on thegraphical user interface 142 in response to theSurface tab 208 being selected.Surface screen 446 has user inputs that are touched to control various functions ofmattress 22 ofhospital bed 10. In the illustrative example,screen 446 has a Max-Inflate button oricon 448 that is selected to inflate the bladders of themattress 22 to their maximum programmed pressures, aTurn Right icon 450 that is selected to inflate a right turn bladder ofmattress 22 to turn the patient onto their right side, aTurn Left button 452 that is selected to inflate a left turn bladder ofmattress 22 to turn the patient onto their left side, a Remind Me icon orbutton 454 that is selected to set a timer for reminding the caregiver when to turn the patient, a Seat Deflate button oricon 456 that is selected to deflate bladders ofmattress 22 in the seat section to facilitate easier side egress and ingress of the patient, and a Start button oricon 458 that is pressed to begin the function selected usingicons - In response to one of
buttons button 458 being selected, a Chart Data toEMR screen 460 appears on thegraphical user interface 142. In some embodiments, theStart button 458 is omitted such that the surface function associated withbuttons EMR screen 460 allows the caregiver to send information to the EMR for charting regarding use of the surface functions ofmattress 22 for the patient.Screen 460 has akeyboard 462 in which the caregiver types his or her PIN and then anOK button 468 that is selected to chart the data to theEMR system 176. A Clear button 464, having the letters “CLR” therein, is provided inkeyboard 462 and is selected if a mistake is made in entering the PIN. If the caregiver does not wish to chart the surface information to theEMR system 176,icon 466 is selected. - Referring to
FIG. 39 , a first TurnPatient Right screen 470 appears on thegraphical user interface 142 in response to a valid PIN being entered and theOK button 468 being touched on the Chart Data toEMR screen 460 afterTurn Right button 450 has been touched on the Surface screen. The first TurnPatient Right screen 470 has a line oftext 474 stating “Turn sent to EMR: 7/9/2008 1:44:44 PM” to confirm that turn data has been sent to the EMR for charting.Screen 470 also has acountdown timer bar 472 that indicates how much time is left in the turn. In the illustrative example, 29 minutes, 37 seconds remains in the turn.Bar 472 fills in as time elapses during the turn. - As shown in
FIG. 40 , a second TurnPatient Right screen 478 appears on thegraphical user interface 142 in response to Cancelbutton 466 being touched on the Chart Data toEMR screen 460 after theTurn Right button 450 has been touched on theSurface screen 446.Screen 478 is basically the same asscreen 470 except that the line oftext 474 appearing onscreen 470 ofFIG. 39 is omitted fromscreen 478 ofFIG. 40 . Each ofscreens icon 476 that is selected to cancel the turn before the full amount of time for the term has been reached. Screens substantially the same asscreens graphical user interface 142 in response toLeft Turn icon 452 being selected onscreen 446 rather thanRight Turn icon 450 being selected and after the desired selections are made onscreen 460 ofFIG. 38 . Similar screens toscreens icons screen 446 and after desired selections are made onscreen 460. - Referring now to
FIG. 41 , a Patient Contraindications screen 480 is another example of a screen that appears on thegraphical user interface 142 in some embodiments.Screen 480 includes acontraindications window 482 in which a list of a patient's drug and food allergies, a patient's needle sticks contraindications, and other contraindications for the patient appears. In the illustrative example,window 482 indicates that the associated patient has drug allergies of penicillin and xmocillin under the “Drug Allergies” heading and has food allergies of mushrooms and peanuts under the “Food Allergies” heading. Furthermore, in the illustrative example, the patient's left arm is contraindicated for needle sticks under the “Contraindicated Needle Sticks” heading. This contraindication is also shown graphically on a patient/bed icon via acolored region 486 corresponding to a patient's left arm. For example,region 486 is colored red in some embodiments, although other colors or graphical indicia such as patterns, shading, and so on can be used if desired. Also in the illustrative example, a contraindication relating to patient egress from the patient's left side is indicated inwindow 482 under the “Contraindicated Other” heading. - Other portions of
screen 480 that are substantially similar to portions of the screens described above are indicated by like reference numerals. However, inscreen 480, icons orbuttons help button 214 includes a question mark (“?”) therein rather than the word “Help.” Furthermore,screen 480 includes a patient button oricon 488 that is touched or selected to bring upwindow 482. An Alarm Silence icon orbutton 490 is also provided onscreen 480 and is selectable to silence any alarms that may occur onbed 10. Avertical scroll bar 492 with ascroll icon 494 is provided onscreen 480 to permit a caregiver to scroll to other buttons or icons such as, for example, a charting icon or alarms icon that will appear in the same area onscreen 490 as is occupied bybuttons FIG. 41 . As was the case with some prior screens in this disclosure,screen 480 indicates the name of the patient, the patient's doctor, and the patient's assigned nurse, although, in some embodiments, some or all of this information is omitted. - The information regarding contraindications listed in
window 482 ofscreen 480 is communicated to bed fromremote computer 176 in some embodiments. This occurs in response tobutton 488 being selected in some embodiments. In other embodiments, the information is communicated tobed 10 for storage inmemory 174 once a particular patient is associated withbed 10. In such embodiments, whenbutton 488 is selected the contraindications information stored inmemory 174 is displayed. In still other embodiments,graphical user interface 142 provides for the direct entry of such information via a displayed keyboard, for example, or via drop down menus that list common contraindications in the relevant categories under the headings provided inwindow 482. - With regard to the
contraindications window 482, in some embodiments, the information displayed is obtained from doctor's orders that are entered into and/or stored inremote computer 176 and/or entered usinggraphical display screen 142. Thus, it is within the scope of this disclosure to receive doctor's orders at the bedside from an EMR orADT computer 176, for example, and display them locally ondisplay screen 142. Alternatively or additionally, the information displayed onscreen 142 includes a patient schedule so that caregivers can see at the bedside what operations and times the patient has in a “Day-At-A-Glance” type of format for calendars. This type of information is useful in determining the contraindications that appear inwindow 482. For example, after the patient has had spinal surgery, thebed 10 should be configured in a reverse Trendelenburg position with a loweredhead section 40. Thehead section 40 should not be raised after the patient has returned from spinal surgery. - Another example of a contraindicated bed movement is moving the foot and
thigh sections thigh sections thigh section 43 raised with thefoot section 44 horizontal, for example. Thus, under the Contradicted Other heading in table 482, examples of messages that appear include “Patient Movement—Keep head section lowered and Keep upper frame in the reverse Trendelenburg position,” “Patient Movement—Keep thigh and foot sections flat,” “Patient Movement—Keep thigh and foot sections raised,” “Do not raise head section,” “Do not lower thigh and foot sections” and so forth depending upon the type of patient and/or bed movement to be avoided. - According to this disclosure, when a contraindicated bed movement is attempted contrary to doctor's orders or otherwise contrary to information in a patient's record,
display screen 142 displays a warning message such as, for example, “The motion you are trying, [attempted motion listed here], is contraindicated to the following doctor's orders: [doctor order listed here]. Please contact [doctor's name obtained from ADT or EMR system listed here] for more information or to lift the order.” Displaying warnings on thegraphical user interface 142 if the caregiver attempts to move the bed in a manner that is contraindicated based on information fromremote computer 176 improves patient safety and enhances patient outcomes. In some embodiments,display screen 142 has one or more override icons that are selectable to move the bed in the contraindicated manner. The caregiver is required to make the proper override selections on a series of two or more screens or windows in some embodiments. - By providing contraindicated orders on
display screen 142, caregivers are aided in remembering the status of each patient and what doctor's orders are currently in effect for the various patients that caregivers are caring for during their shift. This also facilitates in shift hand off of patients from one set of caregivers to another. By warning caregivers about contraindicated bed or patient movements, unwanted bed or patient movements are avoided. This also reduces accidental activation by the patient inadvertently pressing on the outside controls (e.g., the user inputs on the side of the siderail facing away from the patient) because the patient would not be able to seedisplay screen 142 and click through the proper sequence of steps to override the contraindication and proceed with the bed movement. - Referring now to
FIG. 42 , a Charting Intake/Output screen 500 includes an Intakes table 502 that appears on the graphical user interface to show information about the food and beverages the patient has consumed at various times and to show an Outputs table 504 having information about the patient's excretions. To navigate to screen 500,Charting button 210 is selected which, in some embodiments, results in a list of various charting options. The charting options are described on buttons in some embodiments and appear on a menu of options in other embodiments. For example, after Chartingicon 210 is selected, an Intake/Output button (not shown) and a Vital Signs button (not shown) may appear. Selection of the Intake/Output button results inscreen 500 being displayed on thegraphical user interface 142. Selection of the Vital Signs button results in screens that are similar or identical to screen 294 ofFIG. 13 appearing on thegraphical user interface 142. In some embodiments, the user must first enter a PIN on a log in screen as is described above, for example, in connection withscreen 226 ofFIG. 4 . - In the illustrative example, table 502 includes columns with the headings Intakes, Meal, Liquid, Assistance and Time as shown in
FIG. 42 . The Intakes column includes entries such as Breakfast, Lunch, Snack, Dinner and Other to indicate the type of intake the patient had. The Meal column indicates the per cent amount of the intake the patient consumed. In the illustrative example, the patient ate half of his or her breakfast as indicated by the “50%” next to the word Breakfast and the patient ate all of his or her snack as indicated by the “100%” next to the word Snack in table 502. The Liquid column indicates the volume or amount of liquid consumed by the patient in units of milliliters (ml). The Assistance column indicates the amount of help provided by a caregiver to the patient during the meal. In the illustrative example, a caregiver had to feed the entire breakfast to the patient as indicated by the word “Total” in table 502, a caregiver provided some amount of help to the patient during lunch as indicated by the word “Assist” in table 502, and the patient was able to feed himself or herself the remainder of the intakes in table 502 as indicated by the word “Self” shown in each of the remaining rows of table 502. The Time column indicates the time of day that the patient had the particular intake. In some embodiments, a Date column (not shown) is also shown in table 502. Ascroll bar 492′ andscroll icon 494′ are provided on the right hand side of table 502 in the illustrative example for scrolling up and down to other entries of table 502. -
Screen 500 further has an Add Intake Item button oricon 506 and a View Intake History button oricon 508 to the right of table 502 in the illustrative example ofscreen 500. Selection ofbutton 506 permits a caregiver to add another row of information in table 502 via drop down menus or a keyboard or the like. Selection ofbutton 508 provides a caregiver with access to the patient's historical intake information in table 502. The historical intake information corresponds to the patient's intake on one or more preceding days, for example. The intake information is retrieved fromremote computer 176 in response to selection ofbutton 508 in some embodiments. Thus, according to this disclosure, intake information entered on table 502 is transmitted bybed 10 tocomputer 176 for storage in the patient's electronic medical record. The intakes information is transmitted automatically at preset times or periodically tocomputer 176 frombed 10 in some embodiments. In other embodiments, the intakes information is retrieved frombed 10 by a user atcomputer 176. Alternatively or additionally, it is within the scope of this disclosure for the intakes information to be stored locally in thememory 174 ofbed 10. - In the illustrative example, table 504 includes columns with the headings Outputs, Urine, Emesis, BM/Stool and Time as shown in
FIG. 42 . The Outputs column indicates the manner in which the output is to be measured, either Volume/Size or Count. Volume/Size and Count correspond to the rows of table 504 in which information is input. The Urine column indicates the amount or volume, in milliliters (ml), when a patient urinates. The Emesis column indicates the amount or volume when a patient vomits. In the illustrative example, the patient has not vomited so Not Applicable (“NA”) is indicated in the Emesis column for all outputs. The BM/Stool column indicates a Volume/Size of Medium and a Count of 01 for the patient's bowel movement which, as indicated in the Time column, occurred at 11:30 am. The Time column indicates the time of day that the patient had the particular output. In some embodiments, a Date column (not shown) is also shown in table 504. Ascroll bar 492″ andscroll icon 494″ are provided on the right hand side of table 502 in the illustrative example for scrolling up and down to other entries of table 504. -
Screen 500 further has an Add Output Item button oricon 510 and a View Output History button oricon 512 to the right of table 504 in the illustrative example ofscreen 500. Selection ofbutton 510 permits a caregiver to add another row of information in table 504 via drop down menus or a keyboard or the like. Selection ofbutton 512 provides a caregiver with access to the patient's historical outputs information in table 504. The historical outputs information corresponds to the patient's outputs on one or more preceding days, for example. The outputs information is retrieved fromremote computer 176 in response to selection ofbutton 512 in some embodiments. Thus, according to this disclosure, outputs information entered on table 504 is transmitted bybed 10 tocomputer 176 for storage in the patient's electronic medical record. The outputs information is transmitted automatically at preset times or periodically tocomputer 176 frombed 10 in some embodiments. In other embodiments, the outputs information is retrieved frombed 10 by a user atcomputer 176. Alternatively or additionally, it is within the scope of this disclosure for the outputs information to be stored locally in thememory 174 ofbed 10. - In some embodiments, the patient's intakes and outputs information is not input at
bed 10 but is input atremote computer 176. In such embodiments, a Refresh button oricon 514, an example of which is shown inFIG. 42 , is provided onscreen 500. Selection oficon 514 results in retrieval bybed 10 of the inputs and outputs information from theremote computer 176. Thus, in some embodiments, thegraphical user interface 142 is used to enter the inputs and outputs information for a patient intomemory 176 ofbed 10 and then,bed 10 pushes that information out to theremote computer 176 for storage in a patient's electronic medical record, for example. In other embodiments, thegraphical user interface 142 is used to request or pull the inputs and outputs information from theremote computer 176 for display. Screen includes 500 further includes a ml/cc button oricon 516 for toggling between volume units of milliliters (ml) and cubic centimeters (cc). - Referring now to
FIG. 43 , a Miscellaneous Functions screen 520 includes icons or buttons that are selected to navigate to the screens ofFIGS. 44-48 as will be further discussed below. To navigate to screen 520, in some embodiments, a userscrolls using icon 494 until a Miscellaneous Functions or Other Functions button or icon (not shown) appears on thegraphical user interface 142 and then, selection of that button, causesscreen 520 to appear.Screen 520 includes a Rounding Checklist button oricon 522, a Procedures icon orbutton 524, a Services icon orbutton 526, an EMR Dashboard button oricon 528, and a Network/Patient Association button oricon 530. - Selection of
button 522 onscreen 520 results in aRounding Checklist screen 530 appearing on thegraphical user interface 142 as shown, for example, inFIG. 44 .Screen 530 has a list of tasks or functions that a caregiver should perform in connection with an associated patient. In the illustrative example, the rounding checklist include the following tasks and functions: putting siderails up, setting brakes, putting an upper frame of the hospital bed in its lowest position, raising a head section of the hospital bed to a position above 30° of elevation, making sure a pathway to a bathroom is clear, making sure a night light is on, arming a bed exit system, assessing a pain level of a patient, making sure entertainment or nurse call controls are with reach of a patient, checking a patient's vital signs, checking whether IV pump bag or drainage receptacle needs to be replaced or emptied, turning a patient, making sure no trip hazards are present in a room, checking or changing bandages, checking to see if a patient needs drinking water, and checking to see if a patient needs to go to a bathroom. - Check
boxes 532 are provided onscreen 530 for selection by a caregiver as the tasks or functions are completed. In the illustrative example, the first two tasks at the top of the Rounding Checklist have been completed but the remaining tasks and functions have not. Provision of a rounding check list on thegraphical user interface 142 to permit caregivers to check off tasks or items on the check list that have been completed. It will be appreciated that different hospitals have different rounding check lists. Accordingly, it is within the scope of this disclosure for the tasks and functions provided onscreen 530 to be custom tailored to a particular healthcare facility. Another example of a task or item on these sorts of check lists includes changing a bed pan or urine bottle. - Selection of
button 524 onscreen 520 results in aProcedures screen 540 appearing on thegraphical user interface 142 as shown, for example, inFIG. 45 .Screen 540 has a number ofProcedures tabs 542 that are selectable to view a list of steps of an associated procedure. In the illustrative example ofscreen 540,tabs 542 are depicted generically as being related toProcedure 1,Procedure 2,Procedure 3, andProcedure 4. In a real world implementation, the wording intabs 542 is edited to be more descriptive of the associated procedure. Such editing is accomplished using a keyboard or other administrative tool such as a lap top or other computer that interfaces withcontrol circuitry 98 ofbed 10 via a suitable port or coupler, including wireless coupling devices. - In the illustrative example,
Procedure 3 has been selected and a set of Video Links buttons oricons 544 are provided adjacent to each step of the list of steps onscreen 540. Selection of aparticular icon 544 permits a caregiver to view a video of an associated step of the procedure. The video plays on thegraphical user interface 142 and then once the video is finished,screen 540 automatically reappears on theinterface 142. In some embodiments, the video played oninterface 142 is retrieved fromremote computer 176 in response to selection of thecorresponding button 544. Thus, it is contemplated by this disclosure that thegraphical user interface 142 ofbed 10 is used to link to video clips which demonstrate on thegraphical user interface 142 at least a portion of a procedure.Screen 540 hascheck boxes 546 adjacent to each step for selection by a caregiver as the steps of an associated procedure are completed. - Selection of
button 526 onscreen 520 results in aServices screen 550 appearing on thegraphical user interface 142 as shown, for example, inFIG. 46 . Services screen 550 has a set of service buttons or icons associated with other services available in the healthcare setting. Thus,graphical user interface 142 is capable of providing caregiver and/or patient access to a full range and variety of services at the bed side or point of care. Some of these services are hospital information technology (IT) access related (e.g., EMR, pharmacy, food service, peripheral control, room control), product service and maintenance related, bed function related, and entertainment related (e.g., television control, radio control, web browsing). A patient's healthcare needs relating to charting, dietary and nutrition needs, statistics reporting and/or trending, pharmacy or prescriptions and other activities are able to be carried out usinggraphical user interface 142 onbed 10 in a HIPAA-compliant, validated use environment in close proximity to the patient and optimized for use case. - In the illustrative example,
screen 550 has a Bed Set button oricon 552, a Physical Therapy icon orbutton 554, a Fluid Management button oricon 556, a Dietary button oricon 558, a Room icon orbutton 560, a Chart icon orbutton 562, a Move Patient button oricon 564, a Pharmacy button oricon 566, and an Entertainment button oricon 568 as shown inFIG. 46 . Selection ofBed Set button 552 results in a signal being sent frombed 10 to remote computer 176 (e.g., a computer associated with housekeeping scheduling) to indicate thatbed 10 is ready to be set up for the next patient. Selection ofPhysical Therapy button 554 results in information about physical therapy, such as the associated patient's physical therapy schedule, being displayed on thegraphical user interface 142. In some embodiments,graphical user interface 142 displays icons or buttons that are used to set up or change a time for one or more of the patient's physical therapy sessions. Whenbutton 554 is selected, communication with aremote computer 176 associated with a healthcare facilities' physical therapy department is established. - Selection of
Fluid Management button 556 onscreen 550 results in information about fluid management being shown ongraphical user interface 142. For example,interface 142 has buttons or icons that are selected to indicate that a new IV fluid container is needed and/or that a new Foley bag is needed and/or to indicate that the patient needs more juice or water. Such requests are communicated frombed 10 toremote computer 176 at a master nurse station in some embodiments. Selection ofDietary button 558 results in dietary information being shown ongraphical user interface 142. For example,interface 142 has buttons or icons for making food and/or drink choice selections for the patient's upcoming meals or snacks in some embodiments. In some embodiments, the options for such food and/or drink choices are communicated tobed 10 from aremote computer 176 associated with a healthcare facilities' food services department and the food and/or drink choice selections are communicated from thebed 10 to theremote computer 176 of the food services department. - Selection of
Room button 560 onscreen 550 results in room environmental controls being displayed ongraphical user interface 142. Such room controls include buttons or icons that are used to control room lighting and/or room temperature. Selection ofEntertainment button 568 results in entertainment controls being displayed ongraphical user interface 142. Such entertainment controls include buttons or icons that are used to control a television and/or a radio that are present in the patient's room or included as part ofbed 10. The entertainment controls, therefore, include channel selection and volume control icons or buttons. - Selection of
Pharmacy icon 566 results in pharmacy information, such as the associated patient's scheduled medicines, being displayed on thegraphical user interface 142. In some embodiments,graphical user interface 142 displays icons or buttons that are used to request additional medicine for the patient. Whenbutton 566 is selected, communication withremote computer 176 associated with a healthcare facilities' pharmacy department is established. In some embodiments, the pharmacy information is communicated tobed 10 from aremote computer 176 associated with a healthcare facilities' pharmacy department and any pharmacy requests made viagraphical user interface 142 ofbed 10 are communicated from thebed 10 to theremote computer 176 of the pharmacy department. - Selection of
Move Patient button 564 results in a signal being sent frombed 10 to remote computer 176 (e.g., a computer associated with orderly and/or transporter scheduling) to indicate that the associated patient needs to be moved, such as being moved frombed 10 to a stretcher or chair. Selection ofChart button 562 results in aChart screen 570 being displayed ongraphical user interface 142 as shown, for example, inFIG. 47 . The Chart screen has a set of Chart buttons or icons that are selectable to view various data sets available in a patient's electronic medical record. In the illustrative example,screen 570 includes a Vitals button oricon 572, a Status icon orbutton 574, a Profile icon orbutton 576, a Report button oricon 578, and a Trend icon orbutton 580. - Selection of
Vitals button 572 onscreen 550 results in the associated patient's vital signs information being displayed ongraphical user interface 142. In some embodiments, the vital signs information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the vital signs information on graphical user interface ofbed 10. In other embodiments, selection ofbutton 572 results in a screen substantially similar or identical to screen 294 ofFIG. 13 being displayed oninterface 142 for entry of the patient's vital signs to the electronic medical record viabed 10. - Selection of
Status button 574 onscreen 570 results in the associated patient's status information being displayed ongraphical user interface 142. In some embodiments, the status information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the status information on graphical user interface ofbed 10. In other embodiments, selection ofbutton 574 results in a screen being displayed oninterface 142 for entry of the patient's status information into the electronic medical record viabed 10. Selection ofProfile button 576 onscreen 570 results in the associated patient's profile information being displayed ongraphical user interface 142. In some embodiments, the profile information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the profile information on graphical user interface ofbed 10. In other embodiments, selection ofbutton 576 results in a screen being displayed oninterface 142 for entry of the patient's profile information into the electronic medical record viabed 10. - Selection of
Report icon 578 results in the associated patient's medical report information being displayed ongraphical user interface 142. In some embodiments, the medical report information is retrieved from the patient's electronic medical record without the ability to edit or enter any of the report information on graphical user interface ofbed 10. In other embodiments, selection ofbutton 578 results in a screen being displayed oninterface 142 for entry of the patient's medical report information into the electronic medical record viabed 10. Selection ofTrend icon 580 results in the associated patient's historical trending information being displayed ongraphical user interface 142.Screen 330 ofFIG. 21 is an example of the type of trending information that is displayed oninterface 142 in response to selection oficon 580. - Referring now to
FIG. 48 , a Network/Patient Association screen 590 that appears on the graphical user interface in response to selection of a Network/Patient Association icon 530 on theMiscellaneous function screen 520 is shown.Screen 590 has a first block oftext 592 providing information about network connectivity and a second block oftext 594 providing information about a likely patient to be associated with the correspondingbed 10. If thebed 10 is able to communicate with more than one network, then information about the multiple available networks is displayed in block oftext 592 and the user then selects which of the available networks thebed 10 should use for communications. Furthermore, block oftext 594 may have a list of patients that possibly may be associated with thebed 10, in which case, the user selects the appropriate patient for association withbed 10 from the list of patients. According to this disclosure, the list of likely patients is established via programmed logic based on patient gender, weight, and so forth. For example, if a weigh scale system ofbed 10 senses that the patient weighs 250 lbs., then a list of patients having similar such weight (within a tolerance range such as 10 or 20%, for example) may be displayed in block oftext 594. Other biometric data such a height, fingerprint, retinal scan, for example, may be used in some embodiments to filter the list of possible patients for display in block oftext 594. In such embodiment,bed 10 includes the appropriate sensors (e.g., finger print reader or retinal scanner) for sensing the patient's biometric information. An Accept button oricon 596 is provided on thegraphical user interface 142 for selection by a caregiver to accept association of the patient with thehospital bed 10. - Additional concepts and features within the scope of this disclosure include the following:
- Provision of a look-up table of patient names on the
graphical user interface 142 to permit the caregiver to select the patient assigned tobed 10 from a list of patients appearing on the look-up table or to confirm at the bedside that the patient-to-bed association made elsewhere, such as at a remote computer, is correct. The menu of patients is pulled from an ADT system in some embodiments. The menu is filterable or filtered in some embodiments. For example, a male/female selection and/or a race selection can be made oninterface 142 and then only male or female names of the selected race, depending upon the selections, are listed in the menu. Provision of additional look-up tables to set or confirm doctor-to-patient, caregiver-to-patient, and bed-to-room associations. If the bed communicates wirelessly, the menu of possible room selections to set the bed-to-room association is filtered based on signal strength sensed by one or more wireless receivers, either on the bed or off the bed. In some embodiments, the caregiver simply types the room number on the graphical user interface ofbed 10. - Messages of the
graphical user interface 142 are provided at preset times in some embodiments to prompt the caregiver to confirm or edit patient-to-bed, caregiver-to-bed, bed-to-room, and doctor-to-patient associations. The preset times may correspond to shift changes, for example. Events may also trigger the caregiver to confirm or edit the various associations. For example, if the bed becomes unplugged and then is plugged back in after a threshold amount of time, which would occur when the bed is moved, then the caregiver is prompted to confirm or edit the associations ongraphical user interface 142. If the bed is unplugged for a small amount of time, such as 15 seconds or 30 seconds, for example, then re-verification of the associations is skipped in some embodiments. - In some embodiments,
bed 10 receives various patient scores, such as the Braden score, a falls risk scores, a modified early warning score (MEWS), etc. and displays the scores oninterface 142. In some embodiments,bed 10 receives the patient's vital signs information from theEMR system 176 and displays the data oninterface 142. In some embodiments, features and functions ofbed 10 are configured in a certain way based on the one or more scores and/or the vital signs data received from theEMR system 176. - Provision of a Standard of Care (SoC) check list on the
graphical user interface 142. For example, if the patient is a falls risk, then the patient should be wearing red footies, the patient should have a red blanket, a star should be placed on the patient's door, etc. Each of the items in the SoC can be listed oninterface 142 for manual verification by the caregiver. In some embodiments, the SoC changes based on an event. For example, if bed receives data from a remote computer or an in-room device or via manual entry that a patient has started a morphine drip, the SoC protocol switches from low falls risk to high falls risk and the corresponding SoC check list is displayed on thegraphical user interface 142. - Provision of a skin assessment tool, such as a series of questions to answer or selections to make, on the
graphical user interface 142. - Emulating or replicating EMR computer screens on the
graphical user interface 142 of thebed 10 for entry of data into the patient's EMR at the bed in the same way as is done at a remote EMR computer. - Displaying a patient's lab results on the
graphical user interface 142. - Importing the patient's height and/or weight from the
EMR system 176, or entering the patient's height on thegraphical user interface 142, having thebed 10 calculate the patient's body mass index (BMI), and displaying the BMI on thegraphical user interface 142. - Linking to a medication delivery system, such as the Pixis system, and displaying information about the patient's medication on the
graphical user interface 142. - Use of a locating and tracking system in conjunction with the rounding check list to monitor caregiver's compliance with completing items on the check list prior to exiting the patient's room.
- Provision of a graphical user interface, similar to
interface 142, but separate frombed 10 that has the same screens and functionality as discussed herein. This separate user interface is wall mounted in some embodiments and is included as part of a graphical audio station of a nurse call system in some embodiments. - Although certain illustrative embodiments have been described in detail above, many embodiments, variations and modifications are possible that are still within the scope and spirit of this disclosure as described herein and as defined in the following claims.
Claims (33)
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US11707391B2 (en) | 2023-07-25 |
US20230329933A1 (en) | 2023-10-19 |
US9492341B2 (en) | 2016-11-15 |
EP2438897A3 (en) | 2014-02-12 |
JP6012949B2 (en) | 2016-10-25 |
US20210052449A1 (en) | 2021-02-25 |
US20170027787A1 (en) | 2017-02-02 |
EP2438897A2 (en) | 2012-04-11 |
US10857050B2 (en) | 2020-12-08 |
JP2012086013A (en) | 2012-05-10 |
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